Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,461.26 / $2,461.26 / $2,461.26	Facility		$2,461.26	$2,461.26	$2,461.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.52 / $1,652.52 / $2,461.26	Professional		$1,652.52	$1,652.52	$2,461.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $1,440.00	Facility		$1,440.00	$1,440.00	$1,440.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.64 / $1,224.00 / $1,440.00	Professional		$233.64	$1,224.00	$1,440.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,132.00 / $7,275.29 / $7,890.87	Professional		$7,132.00	$7,275.29	$7,890.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.58 / $1,735.15 / $3,303.92	Facility		$330.58	$1,735.15	$3,303.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.23 / $1,956.49 / $2,541.48	Professional		$250.23	$1,956.49	$2,541.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,795.63 / $5,098.06 / $5,614.60	Facility		$2,795.63	$5,098.06	$5,614.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,609.00 / $5,536.00 / $5,614.60	Professional		$4,609.00	$5,536.00	$5,614.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.58 / $1,735.15 / $3,970.00	Facility		$330.58	$1,735.15	$3,970.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.64 / $314.64 / $1,440.00	Professional		$233.64	$314.64	$1,440.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,296.16 / $1,391.26 / $2,782.51	Professional		$1,296.16	$1,391.26	$2,782.51