Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,713.18 / $1,713.18 / $1,713.18	Facility		$1,713.18	$1,713.18	$1,713.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,616.02	Professional		$1,393.12	$1,393.12	$1,616.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.26 / $1,314.26 / $3,216.54	Facility		$1,314.26	$1,314.26	$3,216.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,642.83	Professional		$1,393.12	$1,393.12	$1,642.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,689.09 / $3,761.31 / $4,357.13	Professional		$1,689.09	$3,761.31	$4,357.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,713.18 / $2,981.28	Facility		$1,393.12	$1,713.18	$2,981.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,476.71 / $1,811.06	Professional		$1,393.12	$1,476.71	$1,811.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,713.18 / $3,646.19	Facility		$1,393.12	$1,713.18	$3,646.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,824.99 / $2,995.21	Facility		$1,393.12	$1,824.99	$2,995.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $2,437.50 / $2,250,000.00	Professional		$1,393.12	$2,437.50	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,323.46 / $1,393.12 / $1,393.12	Professional		$1,323.46	$1,393.12	$1,393.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,602.09	Professional		$1,393.12	$1,393.12	$1,602.09