Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.58 / $1,139.58 / $1,139.58	Facility		$1,139.58	$1,139.58	$1,139.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.28 / $765.06 / $1,139.58	Professional		$650.28	$765.06	$1,139.58
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 $105.06 / $398.65 / $469.00	Professional		$105.06	$398.65	$469.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,302.16 / $3,368.51 / $3,653.51	Professional		$3,302.16	$3,368.51	$3,653.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $567.82 / $1,632.96	Facility		$130.00	$567.82	$1,632.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $102.65 / $130.09	Professional		$97.76	$102.65	$130.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $2,563.21 / $2,599.60	Facility		$2,134.00	$2,563.21	$2,599.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,134.00 / $2,563.21 / $2,599.60	Professional		$2,134.00	$2,563.21	$2,599.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.01 / $418.95 / $1,632.96	Facility		$92.01	$418.95	$1,632.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $123.82 / $469.00	Professional		$105.06	$123.82	$469.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.74 / $644.20 / $1,073.67	Professional		$543.74	$644.20	$1,073.67