Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,224.82 / $2,224.82 / $2,224.82	Facility		$2,224.82	$2,224.82	$2,224.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,493.70 / $1,493.70 / $2,224.82	Professional		$1,493.70	$1,493.70	$2,224.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.64 / $1,219.64 / $1,219.64	Facility		$1,219.64	$1,219.64	$1,219.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.18 / $1,036.69 / $1,219.64	Professional		$211.18	$1,036.69	$1,219.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,446.88 / $6,576.41 / $7,132.84	Professional		$6,446.88	$6,576.41	$7,132.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $298.80 / $1,568.39 / $2,985.98	Facility		$298.80	$1,568.39	$2,985.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $226.17 / $1,768.21 / $2,296.91	Professional		$226.17	$1,768.21	$2,296.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,526.60 / $4,608.33 / $5,075.25	Facility		$2,526.60	$4,608.33	$5,075.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,166.25 / $5,004.20 / $5,075.25	Professional		$4,166.25	$5,004.20	$5,075.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.80 / $1,568.39 / $4,923.56	Facility		$298.80	$1,568.39	$4,923.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.18 / $284.41 / $1,219.64	Professional		$211.18	$284.41	$1,219.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.42 / $1,257.65 / $2,096.08	Professional		$1,171.42	$1,257.65	$2,096.08