Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.27 / $650.27 / $650.27	Facility		$650.27	$650.27	$650.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.62 / $436.62 / $650.27	Professional		$436.62	$436.62	$650.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $232.12	Facility		$232.12	$232.12	$232.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $197.30 / $232.12	Professional		$59.95	$197.30	$232.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,884.29 / $1,922.15 / $2,084.78	Professional		$1,884.29	$1,922.15	$2,084.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.27 / $324.12 / $931.68	Facility		$87.27	$324.12	$931.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $68.91 / $87.34	Professional		$65.63	$68.91	$87.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,217.70 / $1,462.61 / $1,483.38	Facility		$1,217.70	$1,462.61	$1,483.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,217.70 / $1,462.61 / $1,483.38	Professional		$1,217.70	$1,462.61	$1,483.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $239.09 / $931.68	Facility		$52.50	$239.09	$931.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $83.13 / $232.12	Professional		$70.34	$83.13	$232.12
United Facility/Professional Professional Modifier Low / Median / High Price $310.25 / $367.46 / $734.93	Professional		$310.25	$367.46	$734.93