Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $831.76	Facility		$645.65	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,047.13	Professional		$549.54	$831.76	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,344.23	Professional		$1,584.89	$1,949.84	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $575.44 / $1,584.89	Facility		$97.72	$575.44	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $741.31 / $1,122.02	Professional		$208.93	$741.31	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $1,819.70	Facility		$1,513.56	$1,819.70	$1,819.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $1,819.70	Professional		$1,513.56	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $645.65 / $1,621.81	Facility		$97.72	$645.65	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $776.25	Professional		$79.43	$123.03	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $3,388.44	Facility		$93.33	$93.33	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $107.15 / $912.01	Professional		$40.74	$107.15	$912.01