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 $1,573.38 / $1,591.20 / $1,708.54	Professional		$1,573.38	$1,591.20	$1,708.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.49 / $3,685.49 / $3,685.49	Facility		$3,685.49	$3,685.49	$3,685.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $3,132.67 / $3,685.49	Professional		$192.51	$3,132.67	$3,685.49
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 / $675.92 / $4,904.47	Facility		$180.68	$675.92	$4,904.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $180.68 / $583.91	Professional		$159.66	$180.68	$583.91
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 / $675.92 / $4,904.47	Facility		$180.68	$675.92	$4,904.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.06 / $303.81 / $3,685.49	Professional		$168.06	$303.81	$3,685.49
United Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $177.61 / $1,783.21	Professional		$154.44	$177.61	$1,783.21