Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,305.01 / $2,305.01 / $2,305.01	Facility		$2,305.01	$2,305.01	$2,305.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,547.52 / $1,547.52 / $2,305.01	Professional		$1,547.52	$1,547.52	$2,305.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,406.76 / $1,406.76 / $1,406.76	Facility		$1,406.76	$1,406.76	$1,406.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.80 / $1,195.75 / $1,406.76	Professional		$218.80	$1,195.75	$1,406.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,679.22 / $6,813.42 / $7,389.90	Professional		$6,679.22	$6,813.42	$7,389.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.57 / $1,624.90 / $3,093.96	Facility		$309.57	$1,624.90	$3,093.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.33 / $1,832.12 / $2,379.96	Professional		$234.33	$1,832.12	$2,379.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,617.96 / $4,774.41 / $5,258.16	Facility		$2,617.96	$4,774.41	$5,258.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,316.39 / $5,184.55 / $5,258.16	Professional		$4,316.39	$5,184.55	$5,258.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.57 / $1,624.90 / $5,101.18	Facility		$309.57	$1,624.90	$5,101.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.37 / $294.64 / $1,406.76	Professional		$249.37	$294.64	$1,406.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,302.91 / $2,171.51	Professional		$1,100.00	$1,302.91	$2,171.51