Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $457.09	Professional		$363.08	$380.19	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $478.63 / $616.60	Professional		$169.82	$478.63	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $691.83 / $3,019.95	Facility		$257.04	$691.83	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,715.35 / $4,897.79	Facility		$3,467.37	$3,715.35	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,071.52 / $3,019.95	Facility		$275.42	$1,071.52	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $2,398,832.92	Professional		$436.52	$436.52	$2,398,832.92
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,818.38	Professional		$2,511.89	$2,511.89	$2,818.38