Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,513.56	Professional		$758.58	$1,023.29	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $1,230.27	Professional		$123.03	$123.03	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $4,265.80	Professional		$3,162.28	$3,801.89	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $645.65	Facility		$114.82	$114.82	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $1,096.48	Professional		$112.20	$112.20	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $2,951.21	Facility		$2,454.71	$2,951.21	$2,951.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $2,951.21	Professional		$2,454.71	$2,951.21	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $478.63 / $1,659.59	Facility		$89.13	$478.63	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,258.93 / $1,258.93	Professional		$79.43	$1,258.93	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $870.96 / $1,174.90	Facility		$117.49	$870.96	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,230.27	Professional		$588.84	$741.31	$1,230.27