Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.29 / $929.29 / $929.29	Facility		$929.29	$929.29	$929.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.28 / $623.88 / $929.29	Professional		$530.28	$623.88	$929.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.64 / $766.64 / $766.64	Facility		$766.64	$766.64	$766.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $651.64 / $766.64	Professional		$85.66	$651.64	$766.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,692.81 / $2,746.91 / $2,979.33	Professional		$2,692.81	$2,746.91	$2,979.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.72 / $463.06 / $1,331.28	Facility		$124.72	$463.06	$1,331.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $98.47 / $124.81	Professional		$93.78	$98.47	$124.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,740.20 / $2,090.19 / $2,119.88	Facility		$1,740.20	$2,090.19	$2,119.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,740.20 / $2,090.19 / $2,119.88	Professional		$1,740.20	$2,090.19	$2,119.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $341.60 / $1,331.28	Facility		$65.84	$341.60	$1,331.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.53 / $118.79 / $651.64	Professional		$100.53	$118.79	$651.64
United Facility/Professional Professional Modifier Low / Median / High Price $442.12 / $525.10 / $875.17	Professional		$442.12	$525.10	$875.17