Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.36 / $837.36 / $837.36	Facility		$837.36	$837.36	$837.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.64 / $524.64 / $837.36	Professional		$524.64	$524.64	$837.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $81.44 / $739.60	Professional		$81.44	$81.44	$739.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.69 / $2,426.42 / $2,684.59	Professional		$1,949.69	$2,426.42	$2,684.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.53 / $125.92 / $2,462.61	Facility		$95.53	$125.92	$2,462.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $95.53 / $108.78	Professional		$72.78	$95.53	$108.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.50 / $1,802.30 / $1,883.43	Facility		$1,479.50	$1,802.30	$1,883.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,479.50 / $1,802.30 / $1,802.30	Professional		$1,479.50	$1,802.30	$1,802.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $437.85 / $5,802.77	Facility		$92.08	$437.85	$5,802.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $100.34 / $120.05	Professional		$81.44	$100.34	$120.05
United Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $55.85 / $675.60	Professional		$51.01	$55.85	$675.60