Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.20 / $1,120.20 / $1,120.20	Facility		$1,120.20	$1,120.20	$1,120.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.21 / $666.72 / $1,120.20	Professional		$644.21	$666.72	$1,120.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $775.91 / $775.91	Facility		$775.91	$775.91	$775.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $659.52 / $775.91	Professional		$96.96	$659.52	$775.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,608.25 / $3,246.01 / $3,591.37	Professional		$2,608.25	$3,246.01	$3,591.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $700.06 / $2,437.71	Facility		$123.36	$700.06	$2,437.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $123.36 / $133.68	Professional		$89.90	$123.36	$133.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,577.95 / $2,097.69 / $2,519.60	Facility		$1,577.95	$2,097.69	$2,519.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,577.95 / $1,922.23 / $1,922.23	Professional		$1,577.95	$1,922.23	$1,922.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.85 / $666.72 / $2,437.71	Facility		$101.85	$666.72	$2,437.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $127.52 / $659.52	Professional		$100.52	$127.52	$659.52
United Facility/Professional Professional Modifier Low / Median / High Price $599.79 / $621.25 / $1,022.13	Professional		$599.79	$621.25	$1,022.13