Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.48 / $1,330.48 / $1,330.48	Facility		$1,330.48	$1,330.48	$1,330.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,733.95 / $4,348.67 / $4,834.85	Professional		$1,733.95	$4,348.67	$4,834.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,316.69	Professional		$2,316.69	$2,316.69	$2,316.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,859.80 / $6,712.27 / $9,012.90	Professional		$5,859.80	$6,712.27	$9,012.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,720.37 / $3,778.10 / $5,848.80	Facility		$2,720.37	$3,778.10	$5,848.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,618.23 / $17,150.38 / $18,772.80	Professional		$2,618.23	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,015.49 / $1,493.70 / $1,607.87	Facility		$1,015.49	$1,493.70	$1,607.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,720.37 / $3,290.29 / $5,848.80	Facility		$2,720.37	$3,290.29	$5,848.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,613.98 / $2,400,000.00	Professional		$2,316.69	$2,613.98	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,939.55 / $6,473.17 / $7,983.64	Professional		$3,939.55	$6,473.17	$7,983.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,246.00 / $26,404.00	Facility		$2,155.00	$13,246.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,677.33 / $2,311.92 / $7,453.43	Professional		$1,677.33	$2,311.92	$7,453.43