Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,055.57 / $5,055.57 / $5,055.57	Facility		$5,055.57	$5,055.57	$5,055.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,874.18 / $2,874.18 / $5,055.57	Professional		$2,874.18	$2,874.18	$5,055.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,282.89 / $3,282.89 / $3,282.89	Facility		$3,282.89	$3,282.89	$3,282.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.28 / $2,790.46 / $3,282.89	Professional		$456.28	$2,790.46	$3,282.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14,649.56 / $14,943.88 / $16,208.27	Professional		$14,649.56	$14,943.88	$16,208.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,874.18 / $5,112.50 / $6,328.75	Facility		$2,874.18	$5,112.50	$6,328.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $462.67 / $586.34 / $4,507.72	Professional		$462.67	$586.34	$4,507.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,752.96 / $10,471.70 / $11,532.71	Facility		$5,752.96	$10,471.70	$11,532.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,467.15 / $11,371.25 / $11,532.71	Professional		$9,467.15	$11,371.25	$11,532.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.41 / $4,306.22 / $6,798.96	Facility		$1,862.41	$4,306.22	$6,798.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.28 / $549.92 / $3,282.89	Professional		$456.28	$549.92	$3,282.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,715.48 / $2,859.96 / $5,636.40	Professional		$2,715.48	$2,859.96	$5,636.40