Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.38 / $1,573.38 / $1,573.38	Facility		$1,573.38	$1,573.38	$1,573.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.36 / $1,335.36 / $1,639.54	Professional		$1,335.36	$1,335.36	$1,639.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $303.33	Facility		$303.33	$303.33	$303.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $257.83 / $303.33	Professional		$192.51	$257.83	$303.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,663.44 / $4,559.21 / $5,044.30	Professional		$3,663.44	$4,559.21	$5,044.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.68 / $488.93 / $4,904.47	Facility		$180.68	$488.93	$4,904.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $180.68 / $422.36	Professional		$159.49	$180.68	$422.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,783.21 / $3,538.94 / $3,589.19	Facility		$1,783.21	$3,538.94	$3,589.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,946.35 / $3,538.94 / $3,589.19	Professional		$2,946.35	$3,538.94	$3,589.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.68 / $444.48 / $4,904.47	Facility		$180.68	$444.48	$4,904.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $255.09 / $385.55	Professional		$192.51	$255.09	$385.55
United Facility/Professional Professional Modifier Low / Median / High Price $129.71 / $149.27 / $2,098.62	Professional		$129.71	$149.27	$2,098.62