Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,365.44 / $1,365.44 / $1,365.44	Facility		$1,365.44	$1,365.44	$1,365.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.22 / $906.72 / $1,365.44	Professional		$779.22	$906.72	$1,365.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $511.03	Facility		$511.03	$511.03	$511.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $434.38 / $511.03	Professional		$125.89	$434.38	$511.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,956.65 / $4,036.14 / $4,377.64	Professional		$3,956.65	$4,036.14	$4,377.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.78 / $680.45 / $1,956.96	Facility		$155.78	$680.45	$1,956.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $117.99 / $155.88	Professional		$117.15	$117.99	$155.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,556.94 / $3,071.22 / $3,114.83	Facility		$2,556.94	$3,071.22	$3,114.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,556.94 / $3,071.22 / $3,114.83	Professional		$2,556.94	$3,071.22	$3,114.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.26 / $502.07 / $1,956.96	Facility		$110.26	$502.07	$1,956.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $148.37 / $511.03	Professional		$125.89	$148.37	$511.03
United Facility/Professional Professional Modifier Low / Median / High Price $651.54 / $771.74 / $1,286.23	Professional		$651.54	$771.74	$1,286.23