Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.63 / $1,020.63 / $1,020.63	Facility		$1,020.63	$1,020.63	$1,020.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.12 / $685.20 / $1,020.63	Professional		$672.12	$685.20	$1,020.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $305.64 / $359.59	Professional		$94.09	$305.64	$359.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,957.49 / $3,016.91 / $3,272.15	Professional		$2,957.49	$3,016.91	$3,272.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $508.56 / $1,462.32	Facility		$134.38	$508.56	$1,462.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $101.77 / $134.44	Professional		$101.05	$101.77	$134.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,911.25 / $2,295.65 / $2,328.25	Facility		$1,911.25	$2,295.65	$2,328.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,911.25 / $2,295.65 / $2,328.25	Professional		$1,911.25	$2,295.65	$2,328.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.41 / $375.26 / $1,462.32	Facility		$82.41	$375.26	$1,462.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $127.97 / $305.64	Professional		$108.31	$127.97	$305.64
United Facility/Professional Professional Modifier Low / Median / High Price $487.04 / $576.86 / $961.43	Professional		$487.04	$576.86	$961.43