Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.82 / $1,653.82 / $1,653.82	Facility		$1,653.82	$1,653.82	$1,653.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,845.03	Professional		$1,590.54	$1,590.54	$1,845.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,500.51 / $1,500.51 / $3,707.32	Facility		$1,500.51	$1,500.51	$3,707.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,875.64	Professional		$1,590.54	$1,590.54	$1,875.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,630.72 / $3,631.33 / $4,206.57	Professional		$1,630.72	$3,631.33	$4,206.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,653.82 / $3,403.76	Facility		$1,590.54	$1,653.82	$3,403.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,829.12 / $2,067.69	Professional		$1,590.54	$1,829.12	$2,067.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $1,653.81 / $3,308.32	Facility		$138.29	$1,653.81	$3,308.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,908.65 / $3,419.66	Facility		$1,590.54	$1,908.65	$3,419.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $2,319.88 / $2,250,000.00	Professional		$1,590.54	$2,319.88	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,511.01 / $1,590.54 / $1,590.54	Professional		$1,511.01	$1,590.54	$1,590.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,908.65	Professional		$1,590.54	$1,590.54	$1,908.65