Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,932.29 / $1,932.29 / $1,932.29	Facility		$1,932.29	$1,932.29	$1,932.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,297.38 / $1,297.38 / $1,932.29	Professional		$1,297.38	$1,297.38	$1,932.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,436.52 / $1,436.52 / $1,436.52	Facility		$1,436.52	$1,436.52	$1,436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $1,221.04 / $1,436.52	Professional		$183.43	$1,221.04	$1,436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,599.22 / $5,711.72 / $6,194.97	Professional		$5,599.22	$5,711.72	$6,194.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.52 / $1,362.25 / $2,593.64	Facility		$259.52	$1,362.25	$2,593.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.46 / $1,535.86 / $1,995.11	Professional		$196.46	$1,535.86	$1,995.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,194.63 / $4,002.40 / $4,407.93	Facility		$2,194.63	$4,002.40	$4,407.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,618.45 / $4,346.22 / $4,407.93	Professional		$3,618.45	$4,346.22	$4,407.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.52 / $1,436.52 / $4,276.99	Facility		$259.52	$1,436.52	$4,276.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.07 / $247.03 / $1,221.04	Professional		$209.07	$247.03	$1,221.04
United Facility/Professional Professional Modifier Low / Median / High Price $993.66 / $1,092.43 / $1,820.72	Professional		$993.66	$1,092.43	$1,820.72