Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.20 / $905.20 / $905.20	Facility		$905.20	$905.20	$905.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.67 / $607.67 / $905.20	Professional		$607.67	$607.67	$905.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.73 / $746.73 / $746.73	Facility		$746.73	$746.73	$746.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $634.72 / $746.73	Professional		$85.92	$634.72	$746.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,623.01 / $2,675.71 / $2,902.10	Professional		$2,623.01	$2,675.71	$2,902.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.50 / $451.01 / $1,297.44	Facility		$121.50	$451.01	$1,297.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $95.93 / $121.57	Professional		$91.36	$95.93	$121.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,695.10 / $2,036.03 / $2,064.94	Facility		$1,695.10	$2,036.03	$2,064.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,695.10 / $2,036.03 / $2,064.94	Professional		$1,695.10	$2,036.03	$2,064.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $332.82 / $1,297.44	Facility		$73.09	$332.82	$1,297.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $115.71 / $746.73	Professional		$97.93	$115.71	$746.73
United Facility/Professional Professional Modifier Low / Median / High Price $409.27 / $511.68 / $852.80	Professional		$409.27	$511.68	$852.80