Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,348.96	Professional		$676.08	$812.83	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $707.95 / $831.76	Professional		$107.15	$707.95	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $3,801.89	Professional		$2,884.03	$3,388.44	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $1,288.25	Facility		$97.72	$134.90	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,174.90	Professional		$1,023.29	$1,047.13	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $2,691.53	Facility		$1,348.96	$2,187.76	$2,691.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $2,691.53	Professional		$2,187.76	$2,630.27	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $2,691,534.80	Facility		$676.08	$954.99	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $707.95 / $1,000.00	Professional		$79.43	$707.95	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $794.33 / $1,047.13	Facility		$102.33	$794.33	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $676.08 / $1,288.25	Professional		$630.96	$676.08	$1,288.25