Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $2,925.98	Facility		$1,243.54	$1,243.54	$2,925.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.28 / $1,214.28 / $1,243.54	Professional		$1,214.28	$1,214.28	$1,243.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,414.64 / $142,038.00 / $149,139.69	Facility		$2,414.64	$142,038.00	$149,139.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140,000.00 / $140,000.00 / $140,000.00	Professional		$140,000.00	$140,000.00	$140,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,214.28 / $1,736.42 / $2,610.69	Facility		$1,214.28	$1,736.42	$2,610.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,664.33 / $3,200.63 / $149,140.00	Professional		$1,664.33	$3,200.63	$149,140.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,683.09 / $79,999.20 / $79,999.20	Facility		$1,683.09	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.33 / $1,361.20 / $2,367.30	Facility		$1,221.33	$1,361.20	$2,367.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,387.89 / $1,479.56	Professional		$1,243.54	$1,387.89	$1,479.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,122.58 / $1,684.43 / $4,273.30	Facility		$1,122.58	$1,684.43	$4,273.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,219.16	Professional		$1,219.16	$1,219.16	$1,219.16