Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,274.76	Professional		$1,961.00	$1,961.00	$2,274.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $1,850.00 / $4,028.00	Facility		$1,850.00	$1,850.00	$4,028.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,312.50	Professional		$1,961.00	$1,961.00	$2,312.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $4,305.32 / $4,987.32	Professional		$1,961.00	$4,305.32	$4,987.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $4,196.54	Facility		$1,961.00	$1,961.00	$4,196.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $2,078.66 / $2,549.30	Professional		$1,961.00	$2,078.66	$2,549.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $1,961.00 / $4,078.88	Facility		$1,855.00	$1,961.00	$4,078.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $2,166.91 / $4,216.14	Facility		$1,961.00	$2,166.91	$4,216.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $2,500.00 / $2,250,000.00	Professional		$1,961.00	$2,500.00	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.95 / $1,961.00 / $1,961.00	Professional		$1,862.95	$1,961.00	$1,961.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,255.15	Professional		$1,961.00	$1,961.00	$2,255.15