Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.38 / $817.38 / $817.38	Facility		$817.38	$817.38	$817.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.28 / $725.28 / $817.38	Professional		$725.28	$725.28	$817.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $816.59	Facility		$816.59	$816.59	$816.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $816.59 / $2,105.69	Professional		$92.43	$816.59	$2,105.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,368.53 / $2,416.12 / $2,620.56	Professional		$2,368.53	$2,416.12	$2,620.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.12 / $725.28 / $1,984.32	Facility		$112.12	$725.28	$1,984.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $112.12 / $196.80	Professional		$85.42	$112.12	$196.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,530.65 / $1,838.51 / $2,108.59	Facility		$1,530.65	$1,838.51	$2,108.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,530.65 / $1,838.51 / $1,864.61	Professional		$1,530.65	$1,838.51	$1,864.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.12 / $725.28 / $1,984.32	Facility		$112.12	$725.28	$1,984.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $138.61 / $816.59	Professional		$91.36	$138.61	$816.59
United Facility/Professional Professional Modifier Low / Median / High Price $506.05 / $506.05 / $926.39	Professional		$506.05	$506.05	$926.39