Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,599.72 / $4,599.72 / $4,599.72	Facility		$4,599.72	$4,599.72	$4,599.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,609.16 / $2,609.16 / $4,599.72	Professional		$2,609.16	$2,609.16	$4,599.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,248.38 / $3,248.38 / $3,248.38	Facility		$3,248.38	$3,248.38	$3,248.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.13 / $2,761.12 / $3,248.38	Professional		$415.13	$2,761.12	$3,248.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,328.68 / $13,596.47 / $14,746.85	Professional		$13,328.68	$13,596.47	$14,746.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,609.16 / $4,610.87 / $5,707.08	Facility		$2,609.16	$4,610.87	$5,707.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $417.29 / $528.83 / $4,065.44	Professional		$417.29	$528.83	$4,065.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,188.49 / $9,527.53 / $10,492.87	Facility		$5,188.49	$9,527.53	$10,492.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8,613.54 / $10,345.96 / $10,492.87	Professional		$8,613.54	$10,345.96	$10,492.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,679.67 / $3,883.81 / $6,131.85	Facility		$1,679.67	$3,883.81	$6,131.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.13 / $499.23 / $3,248.38	Professional		$415.13	$499.23	$3,248.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,426.19 / $2,596.26 / $5,128.00	Professional		$2,426.19	$2,596.26	$5,128.00