Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.57 / $2,220.57 / $2,220.57	Facility		$2,220.57	$2,220.57	$2,220.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,399.42	Professional		$2,068.46	$2,068.46	$2,399.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.39 / $1,951.39 / $5,650.80	Facility		$1,951.39	$1,951.39	$5,650.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,439.23	Professional		$2,068.46	$2,068.46	$2,439.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,189.50 / $4,875.63 / $5,647.97	Professional		$2,189.50	$4,875.63	$5,647.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,220.57 / $4,426.53	Facility		$2,068.46	$2,220.57	$4,426.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,192.58 / $2,689.01	Professional		$2,068.46	$2,192.58	$2,689.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,220.57 / $4,608.72	Facility		$2,068.46	$2,220.57	$4,608.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,482.16 / $4,447.21	Facility		$2,068.46	$2,482.16	$4,447.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $3,462.50 / $2,250,000.00	Professional		$2,068.46	$3,462.50	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,965.05 / $2,068.46 / $2,068.46	Professional		$1,965.05	$2,068.46	$2,068.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,378.73	Professional		$2,068.46	$2,068.46	$2,378.73