Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,825.28 / $8,825.28 / $8,825.28	Facility		$8,825.28	$8,825.28	$8,825.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,900.80 / $4,900.80 / $8,825.28	Professional		$4,900.80	$4,900.80	$8,825.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Facility		$5,900.00	$5,900.00	$5,900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.91 / $5,015.00 / $5,900.00	Professional		$763.91	$5,015.00	$5,900.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25,573.09 / $26,086.88 / $28,294.09	Professional		$25,573.09	$26,086.88	$28,294.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,900.80 / $9,178.33 / $11,361.04	Facility		$4,900.80	$9,178.33	$11,361.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $830.64 / $1,052.67 / $8,092.61	Professional		$830.64	$1,052.67	$8,092.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,328.12 / $11,895.95 / $14,491.43	Facility		$10,328.12	$11,895.95	$14,491.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $11,895.95 / $14,491.43 / $14,491.43	Professional		$11,895.95	$14,491.43	$14,491.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,343.54 / $8,323.20 / $11,361.04	Facility		$3,343.54	$8,323.20	$11,361.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $763.91 / $937.61 / $5,900.00	Professional		$763.91	$937.61	$5,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,875.12 / $4,876.80 / $9,436.50	Professional		$4,875.12	$4,876.80	$9,436.50