Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,828.39 / $2,828.39 / $2,828.39	Facility		$2,828.39	$2,828.39	$2,828.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,576.20 / $1,576.20 / $2,828.39	Professional		$1,576.20	$1,576.20	$2,828.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.82 / $1,657.50 / $1,950.00	Professional		$244.82	$1,657.50	$1,950.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,585.57 / $8,195.85 / $9,067.90	Professional		$6,585.57	$8,195.85	$9,067.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $311.50 / $1,987.03 / $3,416.36	Facility		$311.50	$1,987.03	$3,416.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.01 / $2,516.54 / $2,675.48	Professional		$227.01	$2,516.54	$2,675.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,183.40 / $5,296.50 / $6,361.77	Facility		$3,183.40	$5,296.50	$6,361.77
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,183.40 / $3,877.96 / $3,877.96	Professional		$3,183.40	$3,877.96	$3,877.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.50 / $1,655.01 / $3,416.36	Facility		$311.50	$1,655.01	$3,416.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.82 / $301.55 / $1,950.00	Professional		$244.82	$301.55	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.69 / $1,253.32 / $2,088.87	Professional		$1,214.69	$1,253.32	$2,088.87