Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.04 / $1,725.04 / $1,725.04	Facility		$1,725.04	$1,725.04	$1,725.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,684.61	Professional		$1,452.25	$1,452.25	$1,684.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.05 / $2,204.69 / $3,289.98	Facility		$1,370.05	$2,204.69	$3,289.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,712.56	Professional		$1,452.25	$1,452.25	$1,712.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,892.09 / $3,999.97 / $4,511.39	Professional		$2,892.09	$3,999.97	$4,511.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,725.04 / $3,300.00	Facility		$1,452.25	$1,725.04	$3,300.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,651.47 / $1,887.93	Professional		$1,452.25	$1,651.47	$1,887.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $883.62 / $1,627.40 / $3,020.68	Facility		$883.62	$1,627.40	$3,020.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,557.99 / $3,300.00	Facility		$1,452.25	$1,557.99	$3,300.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,161.51 / $1,575.56 / $2,250,000.00	Professional		$1,161.51	$1,575.56	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,379.64 / $1,452.25 / $1,452.25	Professional		$1,379.64	$1,452.25	$1,452.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,670.09	Professional		$1,452.25	$1,452.25	$1,670.09