Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,195.20 / $1,440.00	Professional		$1,152.00	$1,195.20	$1,440.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $2,448.00 / $2,448.00	Facility		$1,224.00	$2,448.00	$2,448.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Professional		$1,224.00	$1,224.00	$1,224.00
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 $386.49 / $1,195.20 / $1,863.91	Facility		$386.49	$1,195.20	$1,863.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $386.49 / $386.49 / $386.49	Professional		$386.49	$386.49	$386.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $395.15 / $79,999.20 / $79,999.20	Facility		$395.15	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.49 / $1,238.40 / $2,569.67	Facility		$386.49	$1,238.40	$2,569.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,500.00 / $2,400,000.00	Professional		$1,224.00	$1,500.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,380.00	Professional		$1,200.00	$1,200.00	$1,380.00