Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,240.02 / $1,494.00	Professional		$1,195.20	$1,240.02	$1,494.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $2,539.80 / $2,539.80	Facility		$1,269.90	$2,539.80	$2,539.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
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 $291.27 / $1,240.02 / $1,933.81	Facility		$291.27	$1,240.02	$1,933.81
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 $291.27 / $1,494.00 / $1,933.81	Facility		$291.27	$1,494.00	$1,933.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,668.75 / $1,668.75	Professional		$1,269.90	$1,668.75	$1,668.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,431.75	Professional		$1,245.00	$1,245.00	$1,431.75