Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,755.55 / $2,755.55 / $2,755.55	Facility		$2,755.55	$2,755.55	$2,755.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,562.88 / $1,562.88 / $2,755.55	Professional		$1,562.88	$1,562.88	$2,755.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.09 / $1,850.09 / $1,850.09	Facility		$1,850.09	$1,850.09	$1,850.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.23 / $1,572.58 / $1,850.09	Professional		$249.23	$1,572.58	$1,850.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,984.79 / $8,145.21 / $8,834.37	Professional		$7,984.79	$8,145.21	$8,834.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,562.88 / $3,145.80 / $3,762.85	Facility		$1,562.88	$3,145.80	$3,762.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $298.85 / $454.04 / $2,418.52	Professional		$298.85	$454.04	$2,418.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,086.64 / $5,707.63 / $6,285.94	Facility		$3,086.64	$5,707.63	$6,285.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,160.10 / $6,197.94 / $6,285.94	Professional		$5,160.10	$6,197.94	$6,285.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.23 / $2,873.45 / $4,776.64	Facility		$999.23	$2,873.45	$4,776.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.23 / $299.04 / $1,572.58	Professional		$249.23	$299.04	$1,572.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.14 / $1,555.14 / $2,990.40	Professional		$1,555.14	$1,555.14	$2,990.40