Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,431.43 / $4,431.43 / $4,431.43	Facility		$4,431.43	$4,431.43	$4,431.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,975.28 / $2,975.28 / $4,431.43	Professional		$2,975.28	$2,975.28	$4,431.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,655.97 / $3,655.97 / $3,655.97	Facility		$3,655.97	$3,655.97	$3,655.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.57 / $3,107.57 / $3,655.97	Professional		$408.57	$3,107.57	$3,655.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12,841.03 / $13,099.02 / $14,207.30	Professional		$12,841.03	$13,099.02	$14,207.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $594.83 / $1,754.13 / $4,735.43	Facility		$594.83	$1,754.13	$4,735.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $447.29 / $469.65 / $595.19	Professional		$447.29	$469.65	$595.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,724.50 / $9,178.94 / $10,108.95	Facility		$4,724.50	$9,178.94	$10,108.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8,298.40 / $9,967.43 / $10,108.95	Professional		$8,298.40	$9,967.43	$10,108.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $357.83 / $1,754.13 / $4,735.43	Facility		$357.83	$1,754.13	$4,735.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.45 / $566.51 / $3,655.97	Professional		$479.45	$566.51	$3,655.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,607.60 / $1,878.68 / $3,370.71	Professional		$1,607.60	$1,878.68	$3,370.71