Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,778.28	Professional		$851.14	$1,071.52	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,230.27	Professional		$125.89	$125.89	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $4,265.80	Professional		$3,235.94	$3,801.89	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $660.69	Facility		$134.90	$134.90	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $1,096.48	Professional		$131.83	$131.83	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $3,019.95	Facility		$2,454.71	$2,951.21	$3,019.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $3,019.95	Professional		$2,454.71	$2,951.21	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $478.63 / $1,659.59	Facility		$100.00	$478.63	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,288.25 / $1,288.25	Professional		$79.43	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $891.25 / $1,174.90	Facility		$117.49	$891.25	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,230.27	Professional		$602.56	$741.31	$1,230.27