Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $794.33	Professional		$478.63	$537.03	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $616.60 / $1,479.11	Professional		$66.07	$616.60	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $1,905.46	Professional		$1,412.54	$1,698.24	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $138.04 / $537.03	Facility		$61.66	$138.04	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $436.52 / $933.25	Professional		$131.83	$436.52	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,380.38	Facility		$1,096.48	$1,318.26	$1,380.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,318.26	Professional		$1,096.48	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $512.86 / $1,348.96	Facility		$83.18	$512.86	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $524.81 / $741.31	Professional		$79.43	$524.81	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $426.58 / $562.34	Facility		$51.29	$426.58	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $660.69	Professional		$354.81	$416.87	$660.69