Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,809.58 / $6,809.58 / $6,809.58	Facility		$6,809.58	$6,809.58	$6,809.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,859.86 / $3,859.86 / $6,809.58	Professional		$3,859.86	$3,859.86	$6,809.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,775.22 / $4,775.22 / $4,775.22	Facility		$4,775.22	$4,775.22	$4,775.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $4,058.94 / $4,775.22	Professional		$615.41	$4,058.94	$4,775.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19,732.16 / $20,128.61 / $21,831.68	Professional		$19,732.16	$20,128.61	$21,831.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,859.86 / $6,778.49 / $8,390.46	Facility		$3,859.86	$6,778.49	$8,390.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $613.42 / $4,600.89 / $5,976.65	Professional		$613.42	$4,600.89	$5,976.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,627.65 / $14,104.83 / $15,533.95	Facility		$7,627.65	$14,104.83	$15,533.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12,751.75 / $15,316.47 / $15,533.95	Professional		$12,751.75	$15,316.47	$15,533.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,469.31 / $6,455.70 / $9,014.50	Facility		$2,469.31	$6,455.70	$9,014.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $738.54 / $4,775.22	Professional		$615.41	$738.54	$4,775.22
United Facility/Professional Professional Modifier Low / Median / High Price $3,566.78 / $3,840.72 / $7,385.40	Professional		$3,566.78	$3,840.72	$7,385.40