Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $2,951.21	Facility		$1,584.89	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,951.21	Professional		$1,047.13	$1,737.80	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,659.59 / $1,949.84	Professional		$245.47	$1,659.59	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,943.28 / $8,709.64	Professional		$6,606.93	$7,943.28	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $275.42 / $2,754.23	Facility		$229.09	$275.42	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,570.40 / $2,754.23	Professional		$2,511.89	$2,570.40	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $6,309.57	Facility		$3,162.28	$5,248.07	$6,309.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $3,890.45	Professional		$3,162.28	$3,890.45	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,949.84 / $3,388.44	Facility		$323.59	$1,949.84	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,659.59 / $4,570.88	Professional		$79.43	$1,659.59	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,479.11 / $1,995.26	Facility		$239.88	$1,479.11	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $2,290.87	Professional		$1,202.26	$1,258.93	$2,290.87