Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.39 / $1,316.39 / $1,316.39	Facility		$1,316.39	$1,316.39	$1,316.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.92 / $883.74 / $1,316.39	Professional		$856.92	$883.74	$1,316.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $124.95 / $1,232.30	Professional		$124.95	$124.95	$1,232.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,814.53 / $3,891.16 / $4,220.38	Professional		$3,814.53	$3,891.16	$4,220.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.67 / $655.86 / $1,886.40	Facility		$176.67	$655.86	$1,886.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $139.47 / $176.79	Professional		$132.84	$139.47	$176.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,465.10 / $2,960.90 / $3,002.94	Facility		$2,465.10	$2,960.90	$3,002.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,465.10 / $2,960.90 / $3,002.94	Professional		$2,465.10	$2,960.90	$3,002.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $483.89 / $1,886.40	Facility		$100.66	$483.89	$1,886.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $168.27 / $207.18	Professional		$142.41	$168.27	$207.18
United Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $744.02 / $1,240.04	Professional		$628.04	$744.02	$1,240.04