Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,509.63 / $5,509.63 / $5,509.63	Facility		$5,509.63	$5,509.63	$5,509.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,577.92 / $3,577.92 / $5,509.63	Professional		$3,577.92	$3,577.92	$5,509.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.27 / $4,340.22 / $5,106.14	Professional		$560.27	$4,340.22	$5,106.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15,965.31 / $16,286.07 / $17,664.04	Professional		$15,965.31	$16,286.07	$17,664.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $553.79 / $794.64 / $4,901.75	Facility		$553.79	$794.64	$4,901.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $541.78 / $601.50 / $794.64	Professional		$541.78	$601.50	$794.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,681.50 / $11,412.23 / $12,568.53	Facility		$5,681.50	$11,412.23	$12,568.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10,317.45 / $12,392.57 / $12,568.53	Professional		$10,317.45	$12,392.57	$12,568.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.75 / $794.64 / $5,106.14	Facility		$477.75	$794.64	$5,106.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $576.55 / $681.26 / $5,106.14	Professional		$576.55	$681.26	$5,106.14
United Facility/Professional Professional Modifier Low / Median / High Price $2,091.96 / $2,091.96 / $4,190.83	Professional		$2,091.96	$2,091.96	$4,190.83