Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,826.00 / $2,200.00	Professional		$1,760.00	$1,826.00	$2,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $3,740.00 / $3,740.00	Facility		$1,870.00	$3,740.00	$3,740.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,826.00 / $2,200.00 / $2,847.65	Facility		$1,826.00	$2,200.00	$2,847.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,826.00 / $2,200.00 / $3,925.90	Facility		$1,826.00	$2,200.00	$3,925.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,750.00 / $2,400,000.00	Professional		$1,870.00	$2,750.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,530.00	Professional		$2,200.00	$2,200.00	$2,530.00