Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,605.69 / $1,605.69 / $1,605.69	Facility		$1,605.69	$1,605.69	$1,605.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.28 / $1,137.54 / $1,605.69	Professional		$1,121.28	$1,137.54	$1,605.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $163.71 / $1,503.13	Professional		$163.71	$163.71	$1,503.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,738.67 / $4,652.83 / $5,147.89	Professional		$3,738.67	$4,652.83	$5,147.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.37 / $1,194.42 / $5,268.01	Facility		$184.37	$1,194.42	$5,268.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $184.37 / $288.86	Professional		$140.47	$184.37	$288.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,905.75 / $3,325.90 / $3,662.89	Facility		$2,905.75	$3,325.90	$3,662.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,006.85 / $3,611.61 / $3,662.89	Professional		$3,006.85	$3,611.61	$3,662.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.37 / $1,162.71 / $5,268.01	Facility		$184.37	$1,162.71	$5,268.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $217.45 / $284.08	Professional		$163.71	$217.45	$284.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.67 / $1,108.67 / $1,847.79	Professional		$1,108.67	$1,108.67	$1,847.79