Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.66 / $1,415.66 / $1,415.66	Facility		$1,415.66	$1,415.66	$1,415.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $831.06 / $1,415.66	Professional		$814.12	$831.06	$1,415.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $840.84 / $989.22	Professional		$122.53	$840.84	$989.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,296.21 / $4,102.18 / $4,538.64	Professional		$3,296.21	$4,102.18	$4,538.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.90 / $872.61 / $3,077.64	Facility		$155.90	$872.61	$3,077.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.61 / $155.90 / $161.63	Professional		$113.61	$155.90	$161.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,992.10 / $2,651.00 / $3,184.19	Facility		$1,992.10	$2,651.00	$3,184.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,992.10 / $2,426.73 / $2,426.73	Professional		$1,992.10	$2,426.73	$2,426.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.86 / $831.06 / $3,077.64	Facility		$145.86	$831.06	$3,077.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $158.96 / $989.22	Professional		$122.53	$158.96	$989.22
United Facility/Professional Professional Modifier Low / Median / High Price $757.26 / $784.30 / $1,307.17	Professional		$757.26	$784.30	$1,307.17