Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $7,943.28	Facility		$3,162.28	$3,162.28	$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 $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
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 $831.76 / $3,162.28 / $20,417.38	Facility		$831.76	$3,162.28	$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 $251.19 / $1,698.24 / $1,698.24	Facility		$251.19	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,659.59 / $1,659,586.91	Facility		$831.76	$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 $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $812.83 / $891.25	Professional		$218.78	$812.83	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $4,897.79	Facility		$1,096.48	$2,398.83	$4,897.79