Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,659.59	Professional		$794.33	$1,047.13	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $724.44 / $851.14	Professional		$125.89	$724.44	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,890.45 / $4,365.16	Professional		$3,235.94	$3,890.45	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $141.25 / $181.97	Facility		$134.90	$141.25	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $489.78 / $1,122.02	Professional		$134.90	$489.78	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,019.95	Facility		$2,511.89	$3,019.95	$3,019.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,019.95	Professional		$2,511.89	$3,019.95	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $660.69 / $1,698.24	Facility		$107.15	$660.69	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $724.44 / $851.14	Professional		$79.43	$724.44	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $891.25 / $1,202.26	Facility		$120.23	$891.25	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,258.93	Professional		$602.56	$758.58	$1,258.93