Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.37 / $617.37 / $617.37	Facility		$617.37	$617.37	$617.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.76 / $464.76 / $617.37	Professional		$464.76	$464.76	$617.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $552.13 / $552.13	Facility		$552.13	$552.13	$552.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $552.13 / $1,872.25	Professional		$59.71	$552.13	$1,872.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,437.48 / $1,788.97 / $1,979.29	Professional		$1,437.48	$1,788.97	$1,979.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $499.73 / $2,264.23	Facility		$72.69	$499.73	$2,264.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $72.69 / $124.15	Professional		$55.39	$72.69	$124.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,156.09 / $1,278.77 / $1,408.34	Facility		$1,156.09	$1,278.77	$1,408.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,156.09 / $1,388.62 / $1,408.34	Professional		$1,156.09	$1,388.62	$1,408.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $499.73 / $2,264.23	Facility		$72.69	$499.73	$2,264.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.23 / $88.83 / $552.13	Professional		$59.23	$88.83	$552.13
United Facility/Professional Professional Modifier Low / Median / High Price $487.86 / $487.86 / $813.10	Professional		$487.86	$487.86	$813.10