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 $795.00 / $795.00 / $795.00	Facility		$795.00	$795.00	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $675.75 / $795.00	Professional		$106.49	$675.75	$795.00
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 $98.66 / $137.74 / $1,967.93	Facility		$98.66	$137.74	$1,967.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $135.47 / $137.74	Professional		$98.73	$135.47	$137.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $980.75 / $2,443.78 / $2,691.39	Facility		$980.75	$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 $98.66 / $671.88 / $1,967.93	Facility		$98.66	$671.88	$1,967.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $128.56 / $795.00	Professional		$106.49	$128.56	$795.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.44 / $668.58 / $1,315.40	Professional		$484.44	$668.58	$1,315.40