Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,097.94 / $2,097.94 / $2,097.94	Facility		$2,097.94	$2,097.94	$2,097.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.44 / $1,408.50 / $2,097.94	Professional		$1,354.44	$1,408.50	$2,097.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.26 / $1,414.26 / $1,414.26	Facility		$1,414.26	$1,414.26	$1,414.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.14 / $1,202.11 / $1,414.26	Professional		$199.14	$1,202.11	$1,414.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,079.22 / $6,201.36 / $6,726.05	Professional		$6,079.22	$6,201.36	$6,726.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,354.44 / $2,596.84 / $3,453.45	Facility		$1,354.44	$2,596.84	$3,453.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $328.27 / $2,082.92	Professional		$213.80	$328.27	$2,082.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,291.21 / $4,345.52 / $4,785.81	Facility		$2,291.21	$4,345.52	$4,785.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,928.65 / $4,718.81 / $4,785.81	Professional		$3,928.65	$4,718.81	$4,785.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $771.39 / $1,855.58 / $3,481.85	Facility		$771.39	$1,855.58	$3,481.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.26 / $257.89 / $1,414.26	Professional		$218.26	$257.89	$1,414.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,194.83 / $1,194.83 / $2,279.50	Professional		$1,194.83	$1,194.83	$2,279.50