Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,344.60 / $1,620.00	Professional		$1,296.00	$1,344.60	$1,620.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $2,754.00 / $2,754.00	Facility		$1,377.00	$2,754.00	$2,754.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,655.54 / $3,232.39 / $3,557.05	Professional		$2,655.54	$3,232.39	$3,557.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,344.60 / $1,620.00 / $2,890.89	Facility		$1,344.60	$1,620.00	$2,890.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,902.45 / $2,317.53 / $79,999.20	Facility		$1,902.45	$2,317.53	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,344.60 / $1,620.00 / $2,890.89	Facility		$1,344.60	$1,620.00	$2,890.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,687.50 / $2,400,000.00	Professional		$1,377.00	$1,687.50	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,757.71 / $2,925.98 / $3,459.59	Professional		$1,757.71	$2,925.98	$3,459.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,552.50	Professional		$1,350.00	$1,350.00	$1,552.50