Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,090.30 / $7,244.36	Facility		$3,019.95	$3,090.30	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,090.30	Professional		$2,884.03	$3,019.95	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,691.53 / $2,884.03	Professional		$1,122.02	$2,691.53	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,981.07 / $7,244.36	Facility		$1,000.00	$3,981.07	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $5,754.40	Professional		$1,000.00	$2,238.72	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,290.87	Facility		$1,862.09	$2,238.72	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,981.07 / $8,912.51	Facility		$3,019.95	$3,981.07	$8,912.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,090.30 / $3,388.44	Professional		$79.43	$3,090.30	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,754.40 / $9,120.11	Facility		$2,398.83	$5,754.40	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $6,918.31	Facility		$2,884.03	$2,884.03	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95