Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,311.40 / $1,311.40 / $1,311.40	Facility		$1,311.40	$1,311.40	$1,311.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $867.72 / $880.44 / $1,311.40	Professional		$867.72	$880.44	$1,311.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $469.00	Facility		$469.00	$469.00	$469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $398.65 / $469.00	Professional		$120.90	$398.65	$469.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,800.05 / $3,876.39 / $4,204.37	Professional		$3,800.05	$3,876.39	$4,204.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.03 / $653.65 / $1,879.20	Facility		$176.03	$653.65	$1,879.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.37 / $138.99 / $176.13	Professional		$132.37	$138.99	$176.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,455.75 / $2,949.67 / $2,991.55	Facility		$2,455.75	$2,949.67	$2,991.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,455.75 / $2,949.67 / $2,991.55	Professional		$2,455.75	$2,949.67	$2,991.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.90 / $482.22 / $1,879.20	Facility		$105.90	$482.22	$1,879.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $167.64 / $398.65	Professional		$141.88	$167.64	$398.65
United Facility/Professional Professional Modifier Low / Median / High Price $625.89 / $741.21 / $1,235.34	Professional		$625.89	$741.21	$1,235.34