Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.23 / $1,095.23 / $1,095.23	Facility		$1,095.23	$1,095.23	$1,095.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.22 / $825.78 / $1,283.70	Professional		$759.22	$825.78	$1,283.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.57 / $936.57 / $936.57	Facility		$936.57	$936.57	$936.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $796.08 / $796.08	Professional		$796.08	$796.08	$796.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,389.91 / $2,796.90 / $3,454.17	Professional		$2,389.91	$2,796.90	$3,454.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.76 / $714.82 / $2,081.29	Facility		$125.76	$714.82	$2,081.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $125.76 / $223.24	Professional		$88.46	$125.76	$223.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,050.94 / $2,463.44 / $2,498.42	Facility		$2,050.94	$2,463.44	$2,498.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,050.94 / $2,463.44 / $2,498.42	Professional		$2,050.94	$2,463.44	$2,498.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.76 / $277.83 / $1,775.43	Facility		$125.76	$277.83	$1,775.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $156.06 / $796.08	Professional		$112.84	$156.06	$796.08
United Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $84.70 / $441.00	Professional		$78.19	$84.70	$441.00