Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $2,041.74	Facility		$1,230.27	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $2,041.74	Professional		$776.25	$1,348.96	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $190.55	Professional		$123.03	$144.54	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $6,025.60	Professional		$4,570.88	$5,495.41	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $169.82 / $1,737.80	Facility		$158.49	$169.82	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,148.15 / $2,398.83	Professional		$213.80	$1,148.15	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,715.35 / $4,466.84	Facility		$2,137.96	$3,715.35	$4,466.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,570.40	Professional		$2,137.96	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $812.83 / $2,951.21	Facility		$144.54	$812.83	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $3,090.30	Professional		$79.43	$123.03	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,000.00 / $1,318.26	Facility		$169.82	$1,000.00	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $891.25 / $1,513.56	Professional		$831.76	$891.25	$1,513.56