Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.39 / $1,568.39 / $1,568.39	Facility		$1,568.39	$1,568.39	$1,568.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.08 / $1,053.06 / $1,568.39	Professional		$895.08	$1,053.06	$1,568.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $396.70 / $396.70	Facility		$396.70	$396.70	$396.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $337.20 / $396.70	Professional		$148.88	$337.20	$396.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,544.75 / $4,636.06 / $5,028.30	Professional		$4,544.75	$4,636.06	$5,028.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.96 / $781.52 / $2,247.84	Facility		$178.96	$781.52	$2,247.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.56 / $141.29 / $179.06	Professional		$134.56	$141.29	$179.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,937.00 / $3,527.71 / $3,577.80	Facility		$2,937.00	$3,527.71	$3,577.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,937.00 / $3,527.71 / $3,577.80	Professional		$2,937.00	$3,527.71	$3,577.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.65 / $576.67 / $2,247.84	Facility		$126.65	$576.67	$2,247.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $170.43 / $396.70	Professional		$148.88	$170.43	$396.70
United Facility/Professional Professional Modifier Low / Median / High Price $748.57 / $886.51 / $1,477.51	Professional		$748.57	$886.51	$1,477.51