Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.85 / $1,411.85 / $1,411.85	Facility		$1,411.85	$1,411.85	$1,411.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.70 / $800.70 / $1,411.85	Professional		$800.70	$800.70	$1,411.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $902.06	Facility		$902.06	$902.06	$902.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $766.75 / $902.06	Professional		$127.42	$766.75	$902.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,091.11 / $4,173.31 / $4,526.42	Professional		$4,091.11	$4,173.31	$4,526.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $800.70 / $1,414.17 / $1,750.47	Facility		$800.70	$1,414.17	$1,750.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $162.19 / $1,246.88	Professional		$128.00	$162.19	$1,246.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,591.34 / $2,924.39 / $3,220.69	Facility		$1,591.34	$2,924.39	$3,220.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,643.85 / $3,175.60 / $3,220.69	Professional		$2,643.85	$3,175.60	$3,220.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.16 / $1,346.83 / $1,880.67	Facility		$515.16	$1,346.83	$1,880.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $153.19 / $902.06	Professional		$127.42	$153.19	$902.06
United Facility/Professional Facility Modifier Low / Median / High Price $123.52 / $939.36 / $1,252.48	Facility		$123.52	$939.36	$1,252.48
United Facility/Professional Professional Modifier Low / Median / High Price $744.13 / $796.74 / $1,573.90	Professional		$744.13	$796.74	$1,573.90