Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $6,309.57	Professional		$3,162.28	$3,801.89	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $2,951.21 / $3,467.37	Professional		$501.19	$2,951.21	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $15,848.93 / $17,782.79	Professional		$13,489.63	$15,848.93	$17,782.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $616.60 / $5,128.61	Facility		$501.19	$616.60	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,786.30 / $5,011.87	Professional		$4,677.35	$4,786.30	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,471.29 / $12,589.25	Facility		$6,165.95	$10,471.29	$12,589.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $12,302.69 / $12,589.25	Professional		$10,471.29	$12,302.69	$12,589.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $2,691,534.80	Facility		$3,162.28	$5,248.07	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,951.21 / $4,466.84	Professional		$79.43	$2,951.21	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,715.35 / $4,897.79	Facility		$478.63	$3,715.35	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $6,025.60	Professional		$2,884.03	$3,090.30	$6,025.60