Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,067.75 / $7,067.75 / $7,067.75	Facility		$7,067.75	$7,067.75	$7,067.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,670.39 / $4,670.39 / $7,067.75	Professional		$4,670.39	$4,670.39	$7,067.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,410.99 / $6,410.99 / $6,410.99	Facility		$6,410.99	$6,410.99	$6,410.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.64 / $5,449.34 / $6,410.99	Professional		$698.64	$5,449.34	$6,410.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20,480.25 / $20,891.74 / $22,659.39	Professional		$20,480.25	$20,891.74	$22,659.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $626.92 / $1,131.82 / $6,398.45	Facility		$626.92	$1,131.82	$6,398.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $595.74 / $672.32 / $882.45	Professional		$595.74	$672.32	$882.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,486.65 / $15,211.01 / $15,897.16	Facility		$12,486.65	$15,211.01	$15,897.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12,486.65 / $15,211.01 / $15,211.01	Professional		$12,486.65	$15,211.01	$15,211.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.90 / $4,670.39 / $8,376.95	Facility		$453.90	$4,670.39	$8,376.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.71 / $893.33 / $6,410.99	Professional		$707.71	$893.33	$6,410.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,844.44 / $2,983.84 / $5,688.88	Professional		$2,844.44	$2,983.84	$5,688.88