Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,038.50 / $2,038.50 / $2,038.50	Facility		$2,038.50	$2,038.50	$2,038.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,207.04	Professional		$1,902.62	$1,902.62	$2,207.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.93 / $1,794.93 / $4,699.84	Facility		$1,794.93	$1,794.93	$4,699.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,243.66	Professional		$1,902.62	$1,902.62	$2,243.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,009.94 / $4,475.78 / $5,184.78	Professional		$2,009.94	$4,475.78	$5,184.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $2,038.50 / $4,071.61	Facility		$1,902.62	$2,038.50	$4,071.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $2,092.88 / $2,473.41	Professional		$1,902.62	$2,092.88	$2,473.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $2,038.50 / $4,280.89	Facility		$1,902.62	$2,038.50	$4,280.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $2,283.14 / $4,090.63	Facility		$1,902.62	$2,283.14	$4,090.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $2,859.75 / $2,400,000.00	Professional		$1,902.62	$2,859.75	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,807.49 / $1,902.62 / $1,902.62	Professional		$1,807.49	$1,902.62	$1,902.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,188.01	Professional		$1,902.62	$1,902.62	$2,188.01