Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,903.48	Professional		$1,640.93	$1,640.93	$1,903.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.29 / $1,548.05 / $1,640.93	Facility		$644.29	$1,548.05	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,857.66	Professional		$1,640.93	$1,640.93	$1,857.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $3,602.91 / $4,173.64	Professional		$1,640.93	$3,602.91	$4,173.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $3,511.59	Facility		$1,640.93	$1,640.93	$3,511.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,739.39 / $2,133.21	Professional		$1,640.93	$1,739.39	$2,133.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,552.70 / $1,640.93 / $3,413.13	Facility		$1,552.70	$1,640.93	$3,413.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,716.00 / $3,528.00	Facility		$1,640.93	$1,716.00	$3,528.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,962.08 / $2,250,000.00	Professional		$1,640.93	$1,962.08	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,558.88 / $1,640.93 / $1,640.93	Professional		$1,558.88	$1,640.93	$1,640.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,887.07	Professional		$1,640.93	$1,640.93	$1,887.07