Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $870.96 / $870.96	Facility		$524.81	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $870.96	Professional		$426.58	$616.60	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $741.31	Professional		$81.28	$81.28	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $2,570.40	Professional		$1,949.84	$2,344.23	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $93.33 / $112.20	Facility		$72.44	$93.33	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $524.81 / $870.96	Professional		$120.23	$524.81	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $1,862.09	Facility		$1,479.11	$1,819.70	$1,862.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $1,819.70	Professional		$1,479.11	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $436.52 / $5,754.40	Facility		$97.72	$436.52	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $812.83	Professional		$79.43	$812.83	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $707.95	Facility		$70.79	$70.79	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $758.58	Professional		$51.29	$97.72	$758.58