Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.37 / $871.37 / $871.37	Facility		$871.37	$871.37	$871.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,137.11	Professional		$1,052.89	$1,052.89	$1,137.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.79 / $600.36 / $993.29	Facility		$424.79	$600.36	$993.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,191.95	Professional		$1,052.89	$1,052.89	$1,191.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.81 / $1,779.70 / $2,129.89	Professional		$660.81	$1,779.70	$2,129.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $871.37 / $1,052.89 / $2,253.17	Facility		$871.37	$1,052.89	$2,253.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,116.06 / $1,316.11	Professional		$1,052.89	$1,116.06	$1,316.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $300.18 / $1,052.89 / $2,185.23	Facility		$300.18	$1,052.89	$2,185.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.99 / $1,052.89 / $2,263.71	Facility		$353.99	$1,052.89	$2,263.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.99 / $444.61 / $2,250,000.00	Professional		$353.99	$444.61	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.25 / $1,052.89 / $1,052.89	Professional		$1,000.25	$1,052.89	$1,052.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,210.82	Professional		$1,052.89	$1,052.89	$1,210.82