Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.82 / $1,179.82 / $1,179.82	Facility		$1,179.82	$1,179.82	$1,179.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.88 / $671.88 / $1,179.82	Professional		$671.88	$671.88	$1,179.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $833.40 / $833.40	Facility		$833.40	$833.40	$833.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $708.39 / $833.40	Professional		$106.49	$708.39	$833.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,418.76 / $3,487.45 / $3,782.53	Professional		$3,418.76	$3,487.45	$3,782.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $671.88 / $1,143.79 / $1,487.36	Facility		$671.88	$1,143.79	$1,487.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $137.74 / $1,086.89	Professional		$108.69	$137.74	$1,086.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,351.43 / $2,443.78 / $2,691.39	Facility		$1,351.43	$2,443.78	$2,691.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,209.35 / $2,653.71 / $2,691.39	Professional		$2,209.35	$2,653.71	$2,691.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $1,143.79 / $1,597.14	Facility		$437.50	$1,143.79	$1,597.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $128.56 / $833.40	Professional		$106.49	$128.56	$833.40
United Facility/Professional Professional Modifier Low / Median / High Price $631.94 / $668.58 / $1,315.40	Professional		$631.94	$668.58	$1,315.40