Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,573.23 / $3,573.23 / $3,573.23	Facility		$3,573.23	$3,573.23	$3,573.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,736.53 / $3,124.44 / $3,573.23	Professional		$2,736.53	$3,124.44	$3,573.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $462.00 / $3,344.98	Professional		$462.00	$462.00	$3,344.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,319.84 / $10,354.18 / $11,455.87	Professional		$8,319.84	$10,354.18	$11,455.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $555.15 / $3,280.66 / $12,397.71	Facility		$555.15	$3,280.66	$12,397.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $422.96 / $555.15 / $679.84	Professional		$422.96	$555.15	$679.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,691.30 / $7,401.31 / $8,151.22	Facility		$6,691.30	$7,401.31	$8,151.22
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,691.30 / $8,037.10 / $8,151.22	Professional		$6,691.30	$8,037.10	$8,151.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $517.98 / $3,124.44 / $12,397.71	Facility		$517.98	$3,124.44	$12,397.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $597.47 / $724.53	Professional		$462.00	$597.47	$724.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,634.40 / $2,634.40 / $5,049.26	Professional		$2,634.40	$2,634.40	$5,049.26