Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,530.49 / $5,530.49 / $5,530.49	Facility		$5,530.49	$5,530.49	$5,530.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,135.72 / $3,135.72 / $5,530.49	Professional		$3,135.72	$3,135.72	$5,530.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,461.85 / $3,461.85 / $3,461.85	Facility		$3,461.85	$3,461.85	$3,461.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.13 / $2,942.57 / $3,461.85	Professional		$499.13	$2,942.57	$3,461.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16,025.73 / $16,347.71 / $17,730.88	Professional		$16,025.73	$16,347.71	$17,730.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,135.72 / $5,533.88 / $6,849.99	Facility		$3,135.72	$5,533.88	$6,849.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $500.81 / $634.69 / $4,879.27	Professional		$500.81	$634.69	$4,879.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,227.14 / $11,455.42 / $12,616.10	Facility		$6,227.14	$11,455.42	$12,616.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10,356.50 / $12,439.47 / $12,616.10	Professional		$10,356.50	$12,439.47	$12,616.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,015.91 / $4,681.80 / $7,359.34	Facility		$2,015.91	$4,681.80	$7,359.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $499.13 / $599.98 / $3,461.85	Professional		$499.13	$599.98	$3,461.85
United Facility/Professional Professional Modifier Low / Median / High Price $2,939.34 / $3,120.18 / $6,165.80	Professional		$2,939.34	$3,120.18	$6,165.80