Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $20,417.38	Facility		$7,943.28	$7,943.28	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $20,417.38	Professional		$79.43	$1,778.28	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $588.84 / $588.84	Facility		$120.23	$588.84	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659,586.91	Facility		$1,659.59	$1,659.59	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $758.58 / $912.01	Facility		$549.54	$758.58	$912.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $263.03 / $281.84	Professional		$123.03	$263.03	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,071.52 / $5,128.61	Facility		$186.21	$1,071.52	$5,128.61