Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.10 / $1,054.10 / $1,054.10	Facility		$1,054.10	$1,054.10	$1,054.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.62 / $601.62 / $1,054.10	Professional		$601.62	$601.62	$1,054.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $344.45 / $344.45	Facility		$344.45	$344.45	$344.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $292.77 / $344.45	Professional		$100.06	$292.77	$344.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,054.51 / $3,115.88 / $3,379.50	Professional		$3,054.51	$3,115.88	$3,379.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.28 / $525.28 / $1,510.56	Facility		$120.28	$525.28	$1,510.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $91.10 / $120.35	Professional		$90.45	$91.10	$120.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,973.95 / $2,370.96 / $2,404.63	Facility		$1,973.95	$2,370.96	$2,404.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,973.95 / $2,370.96 / $2,404.63	Professional		$1,973.95	$2,370.96	$2,404.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.13 / $387.63 / $1,510.56	Facility		$85.13	$387.63	$1,510.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $114.55 / $344.45	Professional		$100.06	$114.55	$344.45
United Facility/Professional Professional Modifier Low / Median / High Price $503.21 / $595.91 / $993.19	Professional		$503.21	$595.91	$993.19