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 $451.08 / $459.78 / $617.37	Professional		$451.08	$459.78	$617.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $545.00 / $545.00	Facility		$545.00	$545.00	$545.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $463.25 / $545.00	Professional		$59.58	$463.25	$545.00
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 / $487.13 / $2,206.14	Facility		$72.69	$487.13	$2,206.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $72.69 / $121.01	Professional		$55.39	$72.69	$121.01
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 / $482.77 / $2,206.14	Facility		$72.69	$482.77	$2,206.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $87.88 / $545.00	Professional		$59.58	$87.88	$545.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.73 / $515.86 / $792.89	Professional		$475.73	$515.86	$792.89