Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.70 / $1,306.70 / $1,306.70	Facility		$1,306.70	$1,306.70	$1,306.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.30 / $877.38 / $1,306.70	Professional		$753.30	$877.38	$1,306.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $124.05 / $1,223.23	Professional		$124.05	$124.05	$1,223.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,786.42 / $3,862.50 / $4,189.32	Professional		$3,786.42	$3,862.50	$4,189.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.61 / $651.19 / $1,872.72	Facility		$150.61	$651.19	$1,872.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.24 / $114.07 / $150.69	Professional		$113.24	$114.07	$150.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,446.94 / $2,939.10 / $2,980.83	Facility		$2,446.94	$2,939.10	$2,980.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,446.94 / $2,939.10 / $2,980.83	Professional		$2,446.94	$2,939.10	$2,980.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.70 / $480.56 / $1,872.72	Facility		$89.70	$480.56	$1,872.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $143.43 / $176.59	Professional		$124.05	$143.43	$176.59
United Facility/Professional Professional Modifier Low / Median / High Price $623.74 / $738.61 / $1,231.02	Professional		$623.74	$738.61	$1,231.02