Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.84 / $1,626.84 / $1,626.84	Facility		$1,626.84	$1,626.84	$1,626.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.59 / $961.74 / $1,626.84	Professional		$935.59	$961.74	$1,626.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $1,122.47 / $1,122.47	Facility		$1,122.47	$1,122.47	$1,122.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $1,122.47 / $2,346.25	Professional		$140.82	$1,122.47	$2,346.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,787.89 / $4,714.09 / $5,215.68	Professional		$3,787.89	$4,714.09	$5,215.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.17 / $1,009.83 / $3,463.59	Facility		$179.17	$1,009.83	$3,463.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.58 / $179.17 / $189.93	Professional		$130.58	$179.17	$189.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,243.44 / $3,046.45 / $3,659.17	Facility		$2,243.44	$3,046.45	$3,659.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,243.44 / $2,732.93 / $2,732.93	Professional		$2,243.44	$2,732.93	$2,732.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.80 / $961.74 / $3,463.59	Facility		$168.80	$961.74	$3,463.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $183.94 / $1,122.47	Professional		$140.82	$183.94	$1,122.47
United Facility/Professional Professional Modifier Low / Median / High Price $852.22 / $883.25 / $1,472.09	Professional		$852.22	$883.25	$1,472.09