Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $1,122.02	Professional		$562.34	$630.96	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $588.84 / $691.83	Professional		$77.62	$588.84	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,691.53	Professional		$2,041.74	$2,398.83	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $114.82	Facility		$85.11	$89.13	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $562.34 / $1,148.15	Professional		$85.11	$562.34	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $1,905.46	Facility		$1,548.82	$1,862.09	$1,905.46
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $1,905.46	Professional		$1,548.82	$1,862.09	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $416.87 / $1,047.13	Facility		$67.61	$416.87	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $588.84 / $691.83	Professional		$79.43	$588.84	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $562.34 / $741.31	Facility		$74.13	$562.34	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $794.33	Professional		$380.19	$467.74	$794.33