Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,901.66 / $2,901.66 / $2,901.66	Facility		$2,901.66	$2,901.66	$2,901.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,456.28	Professional		$2,979.56	$2,979.56	$3,456.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,810.90 / $2,810.90 / $5,726.26	Facility		$2,810.90	$2,810.90	$5,726.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $3,373.08	Professional		$2,979.55	$2,979.55	$3,373.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $6,371.35 / $7,380.62	Professional		$2,979.55	$6,371.35	$7,380.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,901.66 / $2,979.56 / $6,376.26	Facility		$2,901.66	$2,979.56	$6,376.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $3,158.33 / $3,873.43	Professional		$2,979.56	$3,158.33	$3,873.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,895.23 / $2,979.56 / $6,183.98	Facility		$2,895.23	$2,979.56	$6,183.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $3,135.00 / $6,406.05	Facility		$2,979.56	$3,135.00	$6,406.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $3,562.50 / $2,250,000.00	Professional		$2,979.55	$3,562.50	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,830.58 / $2,979.56 / $2,979.56	Professional		$2,830.58	$2,979.56	$2,979.56
United Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,426.49	Professional		$2,979.56	$2,979.56	$3,426.49