Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.33 / $1,057.33 / $1,057.33	Facility		$1,057.33	$1,057.33	$1,057.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $709.98 / $1,057.33	Professional		$627.00	$709.98	$1,057.33
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 $109.71 / $849.46 / $999.36	Professional		$109.71	$849.46	$999.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,063.86 / $3,125.41 / $3,389.86	Professional		$3,063.86	$3,125.41	$3,389.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $527.00 / $1,515.60	Facility		$141.94	$527.00	$1,515.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $112.08 / $142.02	Professional		$106.74	$112.08	$142.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,980.00 / $2,378.23 / $2,412.00	Facility		$1,980.00	$2,378.23	$2,412.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,980.00 / $2,378.23 / $2,412.00	Professional		$1,980.00	$2,378.23	$2,412.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.39 / $388.85 / $1,515.60	Facility		$85.39	$388.85	$1,515.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $135.18 / $999.36	Professional		$114.41	$135.18	$999.36
United Facility/Professional Professional Modifier Low / Median / High Price $504.72 / $597.64 / $996.07	Professional		$504.72	$597.64	$996.07