Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.73 / $1,071.73 / $1,071.73	Facility		$1,071.73	$1,071.73	$1,071.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.50 / $719.58 / $1,071.73	Professional		$697.50	$719.58	$1,071.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $170.00 / $200.00	Professional		$98.81	$170.00	$200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,105.58 / $3,167.97 / $3,436.01	Professional		$3,105.58	$3,167.97	$3,436.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $534.13 / $1,535.76	Facility		$139.44	$534.13	$1,535.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $105.62 / $139.53	Professional		$104.86	$105.62	$139.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,006.95 / $2,410.60 / $2,444.83	Facility		$2,006.95	$2,410.60	$2,444.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,006.95 / $2,410.60 / $2,444.83	Professional		$2,006.95	$2,410.60	$2,444.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.54 / $394.07 / $1,535.76	Facility		$86.54	$394.07	$1,535.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $132.81 / $200.00	Professional		$112.40	$132.81	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.40 / $605.87 / $1,009.79	Professional		$511.40	$605.87	$1,009.79