Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,593.06 / $1,593.06 / $1,593.06	Facility		$1,593.06	$1,593.06	$1,593.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.66 / $1,083.66 / $1,593.06	Professional		$1,083.66	$1,083.66	$1,593.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.65 / $1,491.30 / $1,491.30	Professional		$160.65	$1,491.30	$1,491.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,709.25 / $4,616.22 / $5,107.39	Professional		$3,709.25	$4,616.22	$5,107.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.32 / $1,137.83 / $4,691.16	Facility		$183.32	$1,137.83	$4,691.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $183.32 / $257.25	Professional		$139.66	$183.32	$257.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,587.81 / $3,299.74 / $3,634.08	Facility		$2,587.81	$3,299.74	$3,634.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,983.20 / $3,583.20 / $3,634.08	Professional		$2,983.20	$3,583.20	$3,634.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.32 / $1,083.66 / $4,691.16	Facility		$183.32	$1,083.66	$4,691.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $207.18 / $263.10	Professional		$149.37	$207.18	$263.10
United Facility/Professional Facility Modifier Low / Median / High Price $139.37 / $1,178.09 / $1,570.80	Facility		$139.37	$1,178.09	$1,570.80
United Facility/Professional Professional Modifier Low / Median / High Price $993.47 / $993.47 / $1,805.51	Professional		$993.47	$993.47	$1,805.51