Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.67 / $1,704.67 / $1,704.67	Facility		$1,704.67	$1,704.67	$1,704.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.56 / $1,144.56 / $1,704.67	Professional		$1,144.56	$1,144.56	$1,704.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.26 / $975.26 / $975.26	Facility		$975.26	$975.26	$975.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $828.97 / $975.26	Professional		$161.82	$828.97	$975.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,939.63 / $5,038.88 / $5,465.23	Professional		$4,939.63	$5,038.88	$5,465.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.97 / $1,201.79 / $2,288.26	Facility		$228.97	$1,201.79	$2,288.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.31 / $1,355.03 / $1,760.20	Professional		$173.31	$1,355.03	$1,760.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,936.23 / $3,530.92 / $3,888.68	Facility		$1,936.23	$3,530.92	$3,888.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,192.20 / $3,834.24 / $3,888.68	Professional		$3,192.20	$3,834.24	$3,888.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.97 / $1,201.79 / $3,773.18	Facility		$228.97	$1,201.79	$3,773.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.44 / $217.93 / $975.26	Professional		$184.44	$217.93	$975.26
United Facility/Professional Professional Modifier Low / Median / High Price $897.70 / $963.59 / $1,605.99	Professional		$897.70	$963.59	$1,605.99