Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,031.64 / $3,031.64 / $3,031.64	Facility		$3,031.64	$3,031.64	$3,031.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.04 / $2,035.32 / $3,031.64	Professional		$1,730.04	$2,035.32	$3,031.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.76 / $2,837.98 / $2,837.98	Professional		$287.76	$2,837.98	$2,837.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,058.80 / $8,784.79 / $9,719.50	Professional		$7,058.80	$8,784.79	$9,719.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.16 / $2,035.32 / $6,708.89	Facility		$407.16	$2,035.32	$6,708.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $305.97 / $321.27 / $407.16	Professional		$305.97	$321.27	$407.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,677.10 / $6,818.92 / $6,915.74	Facility		$5,677.10	$6,818.92	$6,915.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,677.10 / $6,818.92 / $6,915.74	Professional		$5,677.10	$6,818.92	$6,915.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.78 / $1,510.67 / $6,708.89	Facility		$244.78	$1,510.67	$6,708.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.98 / $387.54 / $477.14	Professional		$327.98	$387.54	$477.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,446.68 / $1,713.46 / $2,815.56	Professional		$1,446.68	$1,713.46	$2,815.56