Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,006.60 / $2,006.60 / $2,006.60	Facility		$2,006.60	$2,006.60	$2,006.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,347.30 / $1,347.30 / $2,006.60	Professional		$1,347.30	$1,347.30	$2,006.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $1,208.78	Facility		$1,208.78	$1,208.78	$1,208.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $1,027.46 / $1,208.78	Professional		$190.49	$1,027.46	$1,208.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,814.53 / $5,931.35 / $6,433.20	Professional		$5,814.53	$5,931.35	$6,433.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.52 / $1,414.67 / $2,693.51	Facility		$269.52	$1,414.67	$2,693.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.01 / $1,594.99 / $2,071.92	Professional		$204.01	$1,594.99	$2,071.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,279.13 / $4,156.32 / $4,577.43	Facility		$2,279.13	$4,156.32	$4,577.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,757.60 / $4,513.35 / $4,577.43	Professional		$3,757.60	$4,513.35	$4,577.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.52 / $1,414.67 / $4,440.50	Facility		$269.52	$1,414.67	$4,440.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.11 / $256.52 / $1,208.78	Professional		$217.11	$256.52	$1,208.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.68 / $1,134.22 / $1,890.37	Professional		$1,056.68	$1,134.22	$1,890.37