Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,212.39 / $5,212.39 / $5,212.39	Facility		$5,212.39	$5,212.39	$5,212.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,953.56 / $2,953.56 / $5,212.39	Professional		$2,953.56	$2,953.56	$5,212.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,642.21 / $1,642.21 / $1,642.21	Facility		$1,642.21	$1,642.21	$1,642.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.42 / $1,395.88 / $1,642.21	Professional		$470.42	$1,395.88	$1,642.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15,104.03 / $15,407.48 / $16,711.12	Professional		$15,104.03	$15,407.48	$16,711.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,953.56 / $5,203.09 / $6,440.80	Facility		$2,953.56	$5,203.09	$6,440.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $470.87 / $596.75 / $4,587.60	Professional		$470.87	$596.75	$4,587.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,854.90 / $10,796.56 / $11,890.49	Facility		$5,854.90	$10,796.56	$11,890.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,760.85 / $11,724.02 / $11,890.49	Professional		$9,760.85	$11,724.02	$11,890.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,642.21 / $4,162.47 / $6,919.43	Facility		$1,642.21	$4,162.47	$6,919.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $470.42 / $565.13 / $1,642.21	Professional		$470.42	$565.13	$1,642.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,763.60 / $2,938.92 / $5,651.30	Professional		$2,763.60	$2,938.92	$5,651.30