Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,774.77 / $3,774.77 / $3,774.77	Facility		$3,774.77	$3,774.77	$3,774.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,282.88	Professional		$3,692.14	$3,692.14	$4,282.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,483.15 / $3,483.15 / $5,858.04	Facility		$3,483.15	$3,483.15	$5,858.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,179.78	Professional		$3,692.14	$3,692.14	$4,179.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,721.99 / $8,288.21 / $9,601.12	Professional		$3,721.99	$8,288.21	$9,601.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,774.77 / $7,901.18	Facility		$3,692.14	$3,774.77	$7,901.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,913.67 / $4,799.78	Professional		$3,692.14	$3,913.67	$4,799.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,561.11 / $3,774.77 / $7,834.44	Facility		$3,561.11	$3,774.77	$7,834.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,562.50 / $3,692.14 / $7,938.10	Facility		$3,562.50	$3,692.14	$7,938.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,562.50 / $3,736.50 / $2,250,000.00	Professional		$3,562.50	$3,736.50	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,507.53 / $3,692.14 / $3,692.14	Professional		$3,507.53	$3,692.14	$3,692.14
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,245.96	Professional		$3,692.14	$3,692.14	$4,245.96