Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $1,659.59	Facility		$1,479.11	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,818.38	Professional		$1,348.96	$1,905.46	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $1,479.11	Professional		$190.55	$190.55	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $4,786.30	Professional		$3,715.35	$4,365.16	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $363.08 / $2,137.96	Facility		$186.21	$363.08	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,479.11 / $2,818.38	Professional		$562.34	$1,479.11	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $3,548.13	Facility		$2,951.21	$3,548.13	$3,548.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $3,548.13	Professional		$2,951.21	$3,548.13	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $588.84 / $2,137.96	Facility		$186.21	$588.84	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,513.56 / $3,715.35	Professional		$79.43	$1,513.56	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $1,380.38	Facility		$138.04	$138.04	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $288.40 / $2,951.21	Professional		$144.54	$288.40	$2,951.21