Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $2,448.00 / $2,448.00	Facility		$2,448.00	$2,448.00	$2,448.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,390.40 / $2,880.00	Professional		$2,304.00	$2,390.40	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
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 $2,390.40 / $2,880.00 / $3,727.83	Facility		$2,390.40	$2,880.00	$3,727.83
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 $2,390.40 / $2,880.00 / $5,139.35	Facility		$2,390.40	$2,880.00	$5,139.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $3,000.00 / $2,400,000.00	Professional		$396.00	$3,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,760.00	Professional		$2,400.00	$2,400.00	$2,760.00