Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,379.97 / $3,379.97 / $3,379.97	Facility		$3,379.97	$3,379.97	$3,379.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,269.38 / $2,269.38 / $3,379.97	Professional		$2,269.38	$2,269.38	$3,379.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.05 / $2,225.05 / $2,225.05	Facility		$2,225.05	$2,225.05	$2,225.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.68 / $1,891.29 / $2,225.05	Professional		$343.68	$1,891.29	$2,225.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,794.18 / $9,990.95 / $10,836.27	Professional		$9,794.18	$9,990.95	$10,836.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $324.92 / $453.97 / $3,612.24	Facility		$324.92	$453.97	$3,612.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $341.17 / $358.23 / $453.97	Professional		$341.17	$358.23	$453.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,603.61 / $7,001.01 / $7,710.36	Facility		$3,603.61	$7,001.01	$7,710.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,329.40 / $7,602.41 / $7,710.36	Professional		$6,329.40	$7,602.41	$7,710.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.94 / $453.97 / $3,612.24	Facility		$272.94	$453.97	$3,612.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.70 / $432.10 / $2,225.05	Professional		$365.70	$432.10	$2,225.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.20 / $1,433.05 / $2,761.80	Professional		$1,226.20	$1,433.05	$2,761.80