Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.98 / $1,862.98 / $1,862.98	Facility		$1,862.98	$1,862.98	$1,862.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.08 / $1,063.08 / $1,862.98	Professional		$1,063.08	$1,063.08	$1,862.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $169.88 / $1,743.98	Professional		$169.88	$169.88	$1,743.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,398.37 / $5,506.83 / $5,972.75	Professional		$5,398.37	$5,506.83	$5,972.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,063.08 / $1,854.44 / $2,295.78	Facility		$1,063.08	$1,854.44	$2,295.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $212.68 / $1,635.07	Professional		$167.82	$212.68	$1,635.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,086.75 / $3,858.83 / $4,249.81	Facility		$2,086.75	$3,858.83	$4,249.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,488.65 / $4,190.31 / $4,249.81	Professional		$3,488.65	$4,190.31	$4,249.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $1,799.89 / $2,466.17	Facility		$675.54	$1,799.89	$2,466.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $186.23 / $249.24	Professional		$169.88	$186.23	$249.24
United Facility/Professional Professional Modifier Low / Median / High Price $984.96 / $1,057.80 / $2,024.40	Professional		$984.96	$1,057.80	$2,024.40