Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.40 / $1,059.40 / $1,059.40	Facility		$1,059.40	$1,059.40	$1,059.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.36 / $711.36 / $1,059.40	Professional		$711.36	$711.36	$1,059.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $382.50 / $450.00	Professional		$97.68	$382.50	$450.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,069.82 / $3,131.50 / $3,396.45	Professional		$3,069.82	$3,131.50	$3,396.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.19 / $527.98 / $1,518.48	Facility		$142.19	$527.98	$1,518.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $107.70 / $142.31	Professional		$106.93	$107.70	$142.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,983.85 / $2,382.86 / $2,416.69	Facility		$1,983.85	$2,382.86	$2,416.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,983.85 / $2,382.86 / $2,416.69	Professional		$1,983.85	$2,382.86	$2,416.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.54 / $389.52 / $1,518.48	Facility		$85.54	$389.52	$1,518.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $135.44 / $450.00	Professional		$114.62	$135.44	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.58 / $598.94 / $998.24	Professional		$505.58	$598.94	$998.24