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 $1,478.10 / $1,478.10 / $1,708.54	Professional		$1,478.10	$1,478.10	$1,708.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $192.51 / $1,472.88	Professional		$192.51	$192.51	$1,472.88
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 / $593.27 / $4,904.47	Facility		$180.68	$593.27	$4,904.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $180.68 / $512.51	Professional		$159.66	$180.68	$512.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,946.35 / $3,538.94 / $3,589.19	Facility		$2,946.35	$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 / $593.27 / $4,904.47	Facility		$180.68	$593.27	$4,904.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $282.27 / $441.45	Professional		$192.51	$282.27	$441.45
United Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $164.78 / $2,546.46	Professional		$143.24	$164.78	$2,546.46