Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $3,090.30	Professional		$1,548.82	$1,862.09	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,202.26 / $1,412.54	Professional		$218.78	$1,202.26	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $7,413.10	Professional		$5,623.41	$6,606.93	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $302.00 / $2,454.71	Facility		$234.42	$302.00	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,344.23 / $2,454.71	Professional		$2,290.87	$2,344.23	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $5,248.07	Facility		$2,630.27	$4,365.16	$5,248.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $5,248.07	Professional		$4,365.16	$5,128.61	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,621.81 / $2,691,534.80	Facility		$316.23	$1,621.81	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $2,089.30	Professional		$79.43	$1,202.26	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,548.82 / $2,041.74	Facility		$204.17	$1,548.82	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,187.76	Professional		$1,096.48	$1,288.25	$2,187.76