Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,060.26 / $5,060.26 / $5,060.26	Facility		$5,060.26	$5,060.26	$5,060.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,397.44 / $3,397.44 / $5,060.26	Professional		$3,397.44	$3,397.44	$5,060.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $2,900.00 / $2,900.00	Facility		$2,900.00	$2,900.00	$2,900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.34 / $2,465.00 / $2,900.00	Professional		$480.34	$2,465.00	$2,900.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14,663.18 / $14,957.78 / $16,223.35	Professional		$14,663.18	$14,957.78	$16,223.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $679.65 / $3,567.31 / $6,792.24	Facility		$679.65	$3,567.31	$6,792.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $514.44 / $4,022.14 / $5,224.80	Professional		$514.44	$4,022.14	$5,224.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,475.95 / $11,381.82 / $11,543.43	Facility		$9,475.95	$11,381.82	$11,543.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,475.95 / $11,381.82 / $11,543.43	Professional		$9,475.95	$11,381.82	$11,543.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.65 / $3,567.31 / $11,198.36	Facility		$679.65	$3,567.31	$11,198.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $547.48 / $646.90 / $2,900.00	Professional		$547.48	$646.90	$2,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,664.65 / $2,860.46 / $4,767.43	Professional		$2,664.65	$2,860.46	$4,767.43