Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.02 / $2,421.02 / $2,421.02	Facility		$2,421.02	$2,421.02	$2,421.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.10 / $1,340.10 / $2,421.02	Professional		$1,340.10	$1,340.10	$2,421.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,350.00	Facility		$1,350.00	$1,350.00	$1,350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.56 / $1,147.50 / $1,350.00	Professional		$209.56	$1,147.50	$1,350.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,015.40 / $7,156.35 / $7,761.85	Professional		$7,015.40	$7,156.35	$7,761.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,340.10 / $2,487.66 / $3,079.30	Facility		$1,340.10	$2,487.66	$3,079.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $225.14 / $285.32 / $2,193.40	Professional		$225.14	$285.32	$2,193.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,799.29 / $3,263.70 / $3,975.78	Facility		$2,799.29	$3,263.70	$3,975.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,263.70 / $3,975.78 / $3,975.78	Professional		$3,263.70	$3,975.78	$3,975.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $906.22 / $2,039.18 / $3,180.00	Facility		$906.22	$2,039.18	$3,180.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.56 / $256.39 / $1,350.00	Professional		$209.56	$256.39	$1,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,321.44 / $1,333.56 / $2,588.80	Professional		$1,321.44	$1,333.56	$2,588.80