Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.10 / $770.10 / $770.10	Facility		$770.10	$770.10	$770.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.22 / $516.96 / $770.10	Professional		$482.22	$516.96	$770.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.72 / $422.72 / $422.72	Facility		$422.72	$422.72	$422.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $359.31 / $422.72	Professional		$72.20	$359.31	$422.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,231.51 / $2,276.35 / $2,468.94	Professional		$2,231.51	$2,276.35	$2,468.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.41 / $383.63 / $1,103.76	Facility		$96.41	$383.63	$1,103.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $73.01 / $96.47	Professional		$72.48	$73.01	$96.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,442.10 / $1,732.15 / $1,756.74	Facility		$1,442.10	$1,732.15	$1,756.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,442.10 / $1,732.15 / $1,756.74	Professional		$1,442.10	$1,732.15	$1,756.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $283.14 / $1,103.76	Facility		$62.18	$283.14	$1,103.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $91.82 / $359.31	Professional		$77.70	$91.82	$359.31
United Facility/Professional Professional Modifier Low / Median / High Price $367.39 / $435.24 / $870.48	Professional		$367.39	$435.24	$870.48