Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.39 / $1,165.39 / $1,165.39	Facility		$1,165.39	$1,165.39	$1,165.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,360.17	Professional		$1,172.56	$1,172.56	$1,360.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.19 / $1,106.19 / $2,385.00	Facility		$1,106.19	$1,106.19	$2,385.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,344.17	Professional		$1,172.56	$1,172.56	$1,344.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.93 / $485.78 / $579.12	Professional		$370.93	$485.78	$579.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.14 / $1,172.56 / $2,509.28	Facility		$221.14	$1,172.56	$2,509.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,348.44 / $1,524.33	Professional		$1,172.56	$1,348.44	$1,524.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,038.80 / $1,172.56 / $2,433.61	Facility		$1,038.80	$1,172.56	$2,433.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $1,172.56 / $2,521.00	Facility		$562.50	$1,172.56	$2,521.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.50 / $1,272.11 / $2,250,000.00	Professional		$562.50	$1,272.11	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,348.44	Professional		$1,172.56	$1,172.56	$1,348.44