Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $9,639.64 / $9,639.64	Facility		$4,819.82	$9,639.64	$9,639.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.86 / $4,000.45 / $4,819.82	Professional		$3,855.86	$4,000.45	$4,819.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $9,639.64	Facility		$4,819.82	$4,819.82	$9,639.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $5,456.40	Professional		$4,819.82	$4,819.82	$5,456.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,000.45 / $4,819.82 / $10,299.04	Facility		$4,000.45	$4,819.82	$10,299.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,972.10 / $4,819.82 / $13,910.16	Professional		$1,972.10	$4,819.82	$13,910.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $79,999.20	Facility		$4,819.82	$4,819.82	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,000.45 / $4,819.82 / $10,299.04	Facility		$4,000.45	$4,819.82	$10,299.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $2,250,000.00 / $2,400,000.00	Professional		$4,819.82	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $820.50 / $820.50 / $820.50	Facility		$820.50	$820.50	$820.50
United Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $5,684.00 / $6,536.60	Professional		$5,684.00	$5,684.00	$6,536.60