Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $4,008.90 / $4,830.00	Professional		$3,864.00	$4,008.90	$4,830.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $8,211.00 / $8,211.00	Facility		$4,105.50	$8,211.00	$8,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
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 $2,968.00 / $4,008.90 / $6,251.88	Facility		$2,968.00	$4,008.90	$6,251.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,968.00 / $2,968.00 / $3,858.40	Professional		$2,968.00	$2,968.00	$3,858.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,748.80 / $79,999.20 / $79,999.20	Facility		$4,748.80	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,968.00 / $4,008.90 / $8,619.14	Facility		$2,968.00	$4,008.90	$8,619.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,388.00 / $4,105.50 / $2,400,000.00	Professional		$3,388.00	$4,105.50	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,494.00	Professional		$4,200.00	$4,200.00	$4,494.00