Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,380.38	Professional		$691.83	$812.83	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $707.95 / $831.76	Professional		$97.72	$707.95	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $3,311.31	Professional		$2,511.89	$2,951.21	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $107.15 / $138.04	Facility		$104.71	$107.15	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $851.14	Professional		$102.33	$102.33	$851.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,344.23	Facility		$1,905.46	$2,290.87	$2,344.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,344.23	Professional		$1,905.46	$2,290.87	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $512.86 / $1,288.25	Facility		$83.18	$512.86	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $707.95 / $831.76	Professional		$79.43	$707.95	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $676.08 / $912.01	Facility		$91.20	$676.08	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $954.99	Professional		$457.09	$575.44	$954.99