Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,719.65 / $1,719.65 / $1,719.65	Facility		$1,719.65	$1,719.65	$1,719.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.52 / $1,154.52 / $1,719.65	Professional		$1,154.52	$1,154.52	$1,719.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.00 / $1,071.00 / $1,071.00	Facility		$1,071.00	$1,071.00	$1,071.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $910.35 / $1,071.00	Professional		$163.22	$910.35	$1,071.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,983.05 / $5,083.16 / $5,513.23	Professional		$4,983.05	$5,083.16	$5,513.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.95 / $1,212.25 / $2,308.25	Facility		$230.95	$1,212.25	$2,308.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.83 / $1,366.88 / $1,775.58	Professional		$174.83	$1,366.88	$1,775.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,953.14 / $3,561.95 / $3,922.85	Facility		$1,953.14	$3,561.95	$3,922.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,220.25 / $3,867.93 / $3,922.85	Professional		$3,220.25	$3,867.93	$3,922.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.95 / $1,212.25 / $3,806.38	Facility		$230.95	$1,212.25	$3,806.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.05 / $219.82 / $1,071.00	Professional		$186.05	$219.82	$1,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.54 / $972.04 / $1,620.06	Professional		$905.54	$972.04	$1,620.06