Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.96 / $1,079.96 / $1,079.96	Facility		$1,079.96	$1,079.96	$1,079.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.98 / $724.98 / $1,079.96	Professional		$724.98	$724.98	$1,079.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $999.36	Facility		$999.36	$999.36	$999.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $849.46 / $999.36	Professional		$99.55	$849.46	$999.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,129.41 / $3,192.28 / $3,462.38	Professional		$3,129.41	$3,192.28	$3,462.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.94 / $538.07 / $1,547.28	Facility		$144.94	$538.07	$1,547.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $114.45 / $145.03	Professional		$109.00	$114.45	$145.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,022.35 / $2,429.10 / $2,463.59	Facility		$2,022.35	$2,429.10	$2,463.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,022.35 / $2,429.10 / $2,463.59	Professional		$2,022.35	$2,429.10	$2,463.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.20 / $397.08 / $1,547.28	Facility		$87.20	$397.08	$1,547.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $138.04 / $999.36	Professional		$116.82	$138.04	$999.36
United Facility/Professional Professional Modifier Low / Median / High Price $515.29 / $610.41 / $1,017.37	Professional		$515.29	$610.41	$1,017.37