Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.45 / $1,019.45 / $1,019.45	Facility		$1,019.45	$1,019.45	$1,019.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.30 / $684.30 / $1,019.45	Professional		$684.30	$684.30	$1,019.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.94 / $840.94 / $840.94	Facility		$840.94	$840.94	$840.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $714.80 / $840.94	Professional		$96.75	$714.80	$840.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,954.08 / $3,013.43 / $3,268.40	Professional		$2,954.08	$3,013.43	$3,268.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.79 / $507.82 / $1,460.16	Facility		$136.79	$507.82	$1,460.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $107.99 / $136.90	Professional		$102.85	$107.99	$136.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,909.05 / $2,293.01 / $2,325.57	Facility		$1,909.05	$2,293.01	$2,325.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,909.05 / $2,293.01 / $2,325.57	Professional		$1,909.05	$2,293.01	$2,325.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.28 / $374.67 / $1,460.16	Facility		$82.28	$374.67	$1,460.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $130.30 / $840.94	Professional		$110.26	$130.30	$840.94
United Facility/Professional Professional Modifier Low / Median / High Price $486.18 / $575.99 / $959.98	Professional		$486.18	$575.99	$959.98