Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,089.30	Professional		$1,174.90	$1,513.56	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,380.38 / $1,621.81	Professional		$190.55	$1,380.38	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $6,456.54	Professional		$4,897.79	$5,754.40	$6,456.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $204.17 / $1,905.46	Facility		$177.83	$204.17	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,819.70	Professional		$1,737.80	$1,737.80	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $4,570.88	Facility		$3,715.35	$4,466.84	$4,570.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $4,570.88	Professional		$3,715.35	$4,466.84	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,584.89 / $2,691,534.80	Facility		$239.88	$1,584.89	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,380.38 / $1,621.81	Professional		$79.43	$1,380.38	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,318.26 / $1,778.28	Facility		$177.83	$1,318.26	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,862.09	Professional		$954.99	$1,122.02	$1,862.09