Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,097.50 / $4,097.50 / $4,097.50	Facility		$4,097.50	$4,097.50	$4,097.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,274.48 / $2,274.48 / $4,097.50	Professional		$2,274.48	$2,274.48	$4,097.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,200.00	Facility		$2,200.00	$2,200.00	$2,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.66 / $1,870.00 / $2,200.00	Professional		$354.66	$1,870.00	$2,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11,873.33 / $12,111.88 / $13,136.67	Professional		$11,873.33	$12,111.88	$13,136.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,274.48 / $4,255.87 / $5,268.01	Facility		$2,274.48	$4,255.87	$5,268.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $385.15 / $488.08 / $3,752.44	Professional		$385.15	$488.08	$3,752.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,789.01 / $5,523.10 / $6,728.14	Facility		$4,789.01	$5,523.10	$6,728.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,523.10 / $6,728.14 / $6,728.14	Professional		$5,523.10	$6,728.14	$6,728.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,550.35 / $4,113.02 / $5,268.01	Facility		$1,550.35	$4,113.02	$5,268.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.66 / $435.15 / $2,200.00	Professional		$354.66	$435.15	$2,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,260.50 / $2,263.38 / $4,381.10	Professional		$2,260.50	$2,263.38	$4,381.10