Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $891.25 / $891.25	Facility		$691.83	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,122.02	Professional		$588.84	$891.25	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,511.89	Professional		$1,698.24	$2,089.30	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $389.05 / $1,479.11	Facility		$100.00	$389.05	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $794.33 / $1,174.90	Professional		$223.87	$794.33	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $1,949.84	Facility		$1,584.89	$1,905.46	$1,949.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $1,905.46	Professional		$1,584.89	$1,905.46	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $537.03 / $1,584.89	Facility		$104.71	$537.03	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $724.44	Professional		$79.43	$131.83	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $2,630.27	Facility		$72.44	$72.44	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $114.82 / $977.24	Professional		$50.12	$114.82	$977.24