Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $2,915.12	Facility		$1,214.63	$1,214.63	$2,915.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.80 / $1,214.63 / $2,068.51	Professional		$1,084.80	$1,214.63	$2,068.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,477.86 / $2,477.86 / $2,477.86	Facility		$2,477.86	$2,477.86	$2,477.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,050.00	Professional		$1,050.00	$1,050.00	$1,050.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $949.56 / $1,457.56 / $1,736.92	Facility		$949.56	$1,457.56	$1,736.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $17,728.12	Professional		$1,214.63	$1,214.63	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $79,999.20 / $79,999.20	Facility		$1,214.63	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,151.66 / $1,457.56 / $2,477.86	Facility		$1,151.66	$1,457.56	$2,477.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,365.60 / $1,518.29	Professional		$1,238.93	$1,365.60	$1,518.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,396.82	Professional		$1,214.63	$1,214.63	$1,396.82