Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.51 / $853.51 / $853.51	Facility		$853.51	$853.51	$853.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.68 / $690.30 / $1,114.07	Professional		$655.68	$690.30	$1,114.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $845.38	Facility		$845.38	$845.38	$845.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $718.57	Professional		$718.57	$718.57	$718.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.46 / $2,179.62 / $2,691.83	Professional		$1,862.46	$2,179.62	$2,691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.01 / $601.86 / $1,621.95	Facility		$98.01	$601.86	$1,621.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $98.01 / $202.35	Professional		$67.95	$98.01	$202.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,598.30 / $1,919.76 / $1,947.02	Facility		$1,598.30	$1,919.76	$1,947.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,598.30 / $1,919.76 / $1,947.02	Professional		$1,598.30	$1,919.76	$1,947.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.01 / $251.38 / $1,484.15	Facility		$98.01	$251.38	$1,484.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $131.88 / $718.57	Professional		$88.39	$131.88	$718.57
United Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $79.13 / $580.40	Professional		$65.62	$79.13	$580.40