Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,445.44	Professional		$776.25	$1,071.52	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $436.52 / $512.86	Professional		$125.89	$436.52	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,981.07 / $4,466.84	Professional		$3,311.31	$3,981.07	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $676.08	Facility		$117.49	$117.49	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $1,148.15	Professional		$117.49	$117.49	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $3,090.30	Facility		$2,570.40	$3,090.30	$3,090.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $3,090.30	Professional		$2,570.40	$3,090.30	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $512.86 / $1,737.80	Facility		$109.65	$512.86	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $436.52 / $512.86	Professional		$79.43	$436.52	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $912.01 / $1,230.27	Facility		$123.03	$912.01	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,288.25	Professional		$616.60	$776.25	$1,288.25