Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,479.11	Professional		$741.31	$912.01	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $602.56 / $707.95	Professional		$109.65	$602.56	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $3,715.35	Professional		$2,818.38	$3,311.31	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $575.44	Facility		$112.20	$112.20	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $954.99	Professional		$112.20	$112.20	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,630.27	Facility		$2,137.96	$2,570.40	$2,630.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,630.27	Professional		$2,137.96	$2,570.40	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $575.44 / $1,445.44	Facility		$93.33	$575.44	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $602.56 / $707.95	Professional		$79.43	$602.56	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $776.25 / $1,023.29	Facility		$102.33	$776.25	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,071.52	Professional		$524.81	$645.65	$1,071.52