Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,609.65 / $3,609.65 / $3,609.65	Facility		$3,609.65	$3,609.65	$3,609.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,045.76 / $2,045.76 / $3,609.65	Professional		$2,045.76	$2,045.76	$3,609.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,399.94 / $2,399.94 / $2,399.94	Facility		$2,399.94	$2,399.94	$2,399.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $2,039.95 / $2,399.94	Professional		$326.16	$2,039.95	$2,399.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,459.70 / $10,669.86 / $11,572.63	Professional		$10,459.70	$10,669.86	$11,572.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,045.76 / $3,593.19 / $4,447.97	Facility		$2,045.76	$3,593.19	$4,447.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $325.17 / $2,438.89 / $3,168.14	Professional		$325.17	$2,438.89	$3,168.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,043.33 / $7,476.74 / $8,234.29	Facility		$4,043.33	$7,476.74	$8,234.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,759.50 / $8,119.02 / $8,234.29	Professional		$6,759.50	$8,119.02	$8,234.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,308.95 / $3,422.09 / $4,778.47	Facility		$1,308.95	$3,422.09	$4,778.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $391.43 / $2,399.94	Professional		$326.16	$391.43	$2,399.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,908.48 / $2,035.62 / $4,024.30	Professional		$1,908.48	$2,035.62	$4,024.30