Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,052.61 / $9,052.61 / $9,052.61	Facility		$9,052.61	$9,052.61	$9,052.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,993.14 / $4,993.14 / $9,052.61	Professional		$4,993.14	$4,993.14	$9,052.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,933.43 / $4,933.43 / $4,933.43	Facility		$4,933.43	$4,933.43	$4,933.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.57 / $4,193.42 / $4,933.43	Professional		$783.57	$4,193.42	$4,933.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26,231.82 / $26,758.85 / $29,022.92	Professional		$26,231.82	$26,758.85	$29,022.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,993.14 / $9,179.15 / $11,362.70	Facility		$4,993.14	$9,179.15	$11,362.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $830.71 / $1,052.74 / $8,093.34	Professional		$830.71	$1,052.74	$8,093.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,329.04 / $12,202.30 / $14,864.62	Facility		$10,329.04	$12,202.30	$14,864.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12,202.30 / $14,864.62 / $14,864.62	Professional		$12,202.30	$14,864.62	$14,864.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,343.83 / $8,583.29 / $12,207.07	Facility		$3,343.83	$8,583.29	$12,207.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $783.57 / $955.31 / $4,933.43	Professional		$783.57	$955.31	$4,933.43
United Facility/Professional Facility Modifier Low / Median / High Price $740.58 / $5,939.05 / $7,918.73	Facility		$740.58	$5,939.05	$7,918.73
United Facility/Professional Professional Modifier Low / Median / High Price $4,875.47 / $4,968.60 / $9,679.29	Professional		$4,875.47	$4,968.60	$9,679.29