Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.95 / $1,336.95 / $1,336.95	Facility		$1,336.95	$1,336.95	$1,336.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.60 / $897.60 / $1,336.95	Professional		$897.60	$897.60	$1,336.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $860.04	Facility		$860.04	$860.04	$860.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $731.03 / $860.04	Professional		$126.91	$731.03	$860.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,874.09 / $3,951.92 / $4,286.30	Professional		$3,874.09	$3,951.92	$4,286.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.47 / $666.19 / $1,915.92	Facility		$179.47	$666.19	$1,915.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $141.69 / $179.56	Professional		$134.94	$141.69	$179.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,503.60 / $3,007.14 / $3,049.84	Facility		$2,503.60	$3,007.14	$3,049.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,503.60 / $3,007.14 / $3,049.84	Professional		$2,503.60	$3,007.14	$3,049.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.95 / $491.54 / $1,915.92	Facility		$107.95	$491.54	$1,915.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $170.91 / $860.04	Professional		$144.63	$170.91	$860.04
United Facility/Professional Professional Modifier Low / Median / High Price $637.96 / $755.72 / $1,511.44	Professional		$637.96	$755.72	$1,511.44