Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.73 / $1,370.73 / $1,370.73	Facility		$1,370.73	$1,370.73	$1,370.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,655.84	Professional		$1,427.45	$1,427.45	$1,655.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.65 / $2,065.40 / $2,774.18	Facility		$1,346.65	$2,065.40	$2,774.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,683.31	Professional		$1,427.45	$1,427.45	$1,683.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,298.26 / $3,212.94 / $4,179.46	Professional		$2,298.26	$3,212.94	$4,179.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,370.73 / $1,427.45 / $3,054.74	Facility		$1,370.73	$1,427.45	$3,054.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,547.12 / $1,855.69	Professional		$1,427.45	$1,547.12	$1,855.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,346.65 / $1,427.45 / $2,962.63	Facility		$1,346.65	$1,427.45	$2,962.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,712.94 / $3,069.02	Facility		$1,427.45	$1,712.94	$3,069.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,844.40 / $2,250,000.00	Professional		$1,427.45	$1,844.40	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,356.08 / $1,427.45 / $1,427.45	Professional		$1,356.08	$1,427.45	$1,427.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,641.57	Professional		$1,427.45	$1,427.45	$1,641.57