Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.24 / $1,542.24 / $1,542.24	Facility		$1,542.24	$1,542.24	$1,542.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,733.52	Professional		$1,494.41	$1,494.41	$1,733.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $2,265.00 / $2,988.70	Facility		$1,409.82	$2,265.00	$2,988.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,762.28	Professional		$1,494.41	$1,494.41	$1,762.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,585.69 / $3,576.20 / $4,583.34	Professional		$2,585.69	$3,576.20	$4,583.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,308.00 / $1,542.24 / $3,113.88	Facility		$1,308.00	$1,542.24	$3,113.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,584.07 / $1,942.73	Professional		$1,494.41	$1,584.07	$1,942.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,471.30 / $1,549.36 / $3,108.37	Facility		$1,471.30	$1,549.36	$3,108.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $1,613.96 / $3,201.22	Facility		$1,409.82	$1,613.96	$3,201.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,979.71 / $2,250,000.00	Professional		$1,494.41	$1,979.71	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,419.69 / $1,494.41 / $1,494.41	Professional		$1,419.69	$1,494.41	$1,494.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,793.29	Professional		$1,494.41	$1,494.41	$1,793.29