Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $1,789.55 / $1,789.55	Facility		$1,789.55	$1,789.55	$1,789.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,201.15	Professional		$1,969.89	$1,969.89	$2,201.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.38 / $1,858.38 / $4,592.04	Facility		$1,858.38	$1,858.38	$4,592.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,322.98	Professional		$1,969.89	$1,969.89	$2,322.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $3,928.92 / $4,551.29	Professional		$1,969.89	$3,928.92	$4,551.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $1,969.89 / $4,215.56	Facility		$1,789.55	$1,969.89	$4,215.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $2,088.08 / $2,560.86	Professional		$1,969.89	$2,088.08	$2,560.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $1,969.89 / $4,097.37	Facility		$1,789.55	$1,969.89	$4,097.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $2,166.88 / $4,235.26	Facility		$1,969.89	$2,166.88	$4,235.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,777.50 / $2,137.14 / $2,250,000.00	Professional		$1,777.50	$2,137.14	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,871.40 / $1,969.89 / $1,969.89	Professional		$1,871.40	$1,969.89	$1,969.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,265.37	Professional		$1,969.89	$1,969.89	$2,265.37