Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,860.84 / $4,860.84 / $4,860.84	Facility		$4,860.84	$4,860.84	$4,860.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,947.82 / $3,218.82 / $4,860.84	Professional		$2,947.82	$3,218.82	$4,860.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $479.92 / $4,550.34	Professional		$422.50	$479.92	$4,550.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11,317.88 / $14,085.28 / $15,583.98	Professional		$11,317.88	$14,085.28	$15,583.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $558.19 / $3,218.82 / $13,354.70	Facility		$558.19	$3,218.82	$13,354.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $425.28 / $558.19 / $732.33	Professional		$425.28	$558.19	$732.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,366.93 / $10,068.36 / $11,088.50	Facility		$7,366.93	$10,068.36	$11,088.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,102.50 / $10,933.26 / $11,088.50	Professional		$9,102.50	$10,933.26	$11,088.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $558.19 / $2,947.82 / $13,354.70	Facility		$558.19	$2,947.82	$13,354.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $454.83 / $615.45 / $765.36	Professional		$454.83	$615.45	$765.36
United Facility/Professional Professional Modifier Low / Median / High Price $2,872.59 / $2,872.59 / $5,509.08	Professional		$2,872.59	$2,872.59	$5,509.08