Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.33 / $773.33 / $773.33	Facility		$773.33	$773.33	$773.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.20 / $519.29 / $773.33	Professional		$499.20	$519.29	$773.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,355.54 / $2,355.54 / $2,355.54	Facility		$2,355.54	$2,355.54	$2,355.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $2,002.21 / $2,355.54	Professional		$73.42	$2,002.21	$2,355.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,240.89 / $2,285.91 / $2,479.31	Professional		$2,240.89	$2,285.91	$2,479.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $99.86 / $1,712.29	Facility		$64.67	$99.86	$1,712.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $94.87 / $99.86	Professional		$75.58	$94.87	$99.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,448.15 / $1,739.41 / $7,371.41	Facility		$1,448.15	$1,739.41	$7,371.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,448.15 / $1,739.41 / $1,764.11	Professional		$1,448.15	$1,739.41	$1,764.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $499.20 / $2,355.54	Facility		$64.67	$499.20	$2,355.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $95.05 / $2,355.54	Professional		$80.44	$95.05	$2,355.54
United Facility/Professional Professional Modifier Low / Median / High Price $419.12 / $437.19 / $743.08	Professional		$419.12	$437.19	$743.08