Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.82 / $1,617.82 / $3,235.64	Facility		$1,617.82	$1,617.82	$3,235.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.79 / $1,342.79 / $1,617.82	Professional		$1,342.79	$1,342.79	$1,617.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,858.14 / $2,858.14 / $2,858.14	Facility		$2,858.14	$2,858.14	$2,858.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,550.41	Professional		$1,429.07	$1,429.07	$1,550.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.79 / $1,226.54 / $1,469.80	Professional		$550.79	$1,226.54	$1,469.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,050.19 / $1,779.60 / $2,887.00	Facility		$1,050.19	$1,779.60	$2,887.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $510.97 / $510.97 / $1,133.45	Professional		$510.97	$510.97	$1,133.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,580.55 / $79,999.20 / $79,999.20	Facility		$1,580.55	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,050.19 / $1,920.19 / $2,400,000.00	Facility		$1,050.19	$1,920.19	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $653.51 / $1,184.72 / $1,690.04	Professional		$653.51	$1,184.72	$1,690.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,388.63	Professional		$1,388.63	$1,388.63	$1,388.63