Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.38 / $1,573.38 / $1,573.38	Facility		$1,573.38	$1,573.38	$1,573.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,573.38 / $1,725.12 / $2,354.80	Professional		$1,573.38	$1,725.12	$2,354.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $1,472.88 / $1,472.88	Professional		$192.51	$1,472.88	$1,472.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,663.44 / $4,559.21 / $5,044.30	Professional		$3,663.44	$4,559.21	$5,044.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.68 / $773.82 / $4,904.47	Facility		$180.68	$773.82	$4,904.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $180.68 / $689.29	Professional		$159.66	$180.68	$689.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,783.21 / $3,538.94 / $3,589.19	Facility		$1,783.21	$3,538.94	$3,589.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,946.35 / $3,538.94 / $3,589.19	Professional		$2,946.35	$3,538.94	$3,589.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.68 / $773.82 / $4,904.47	Facility		$180.68	$773.82	$4,904.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.06 / $329.31 / $537.97	Professional		$168.06	$329.31	$537.97
United Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $271.99 / $3,585.42	Professional		$163.19	$271.99	$3,585.42