Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.38 / $1,417.38 / $1,417.38	Facility		$1,417.38	$1,417.38	$1,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,944.00 / $3,054.40 / $3,164.80	Professional		$2,944.00	$3,054.40	$3,164.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,424.19 / $2,424.19 / $3,128.00	Facility		$2,424.19	$2,424.19	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
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 $530.00 / $3,054.40 / $4,763.34	Facility		$530.00	$3,054.40	$4,763.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $689.00	Professional		$530.00	$530.00	$689.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $530.00 / $79,999.20	Facility		$530.00	$530.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $3,054.40 / $6,566.96	Facility		$530.00	$3,054.40	$6,566.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $619.27 / $1,063.52 / $2,400,000.00	Professional		$619.27	$1,063.52	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,680.00	Professional		$3,200.00	$3,200.00	$3,680.00