Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $7,244.36 / $25,703.96	Facility		$1,023.29	$7,244.36	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,318.26	Professional		$1,000.00	$1,023.29	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $2,089.30	Facility		$1,096.48	$2,089.30	$2,089.30
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 $151.36 / $173.78 / $208.93	Professional		$151.36	$173.78	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,862.09	Facility		$616.60	$1,047.13	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,023.29 / $1,698.24	Professional		$616.60	$1,023.29	$1,698.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,548.82	Facility		$1,000.00	$1,202.26	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,862.09	Professional		$79.43	$1,174.90	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $3,235.94	Facility		$1,000.00	$1,621.81	$3,235.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,174.90	Professional		$1,000.00	$1,174.90	$1,174.90
United 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