Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $3,548.13	Professional		$2,290.87	$2,570.40	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,905.46 / $2,238.72	Professional		$346.74	$1,905.46	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $9,772.37 / $10,964.78	Professional		$8,317.64	$9,772.37	$10,964.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $354.81 / $467.74	Facility		$346.74	$354.81	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $2,290.87 / $5,495.41	Professional		$338.84	$2,290.87	$5,495.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,309.57 / $7,762.47	Facility		$3,630.78	$6,309.57	$7,762.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,585.78 / $7,762.47	Professional		$6,309.57	$7,585.78	$7,762.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $467.74 / $3,090.30	Facility		$275.42	$467.74	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,905.46 / $2,238.72	Professional		$79.43	$1,905.46	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $2,290.87	Facility		$302.00	$302.00	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,754.23	Professional		$1,202.26	$1,445.44	$2,754.23