Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,981.07 / $4,786.30	Facility		$1,995.26	$3,981.07	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,511.89	Professional		$1,995.26	$1,995.26	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $3,890.45	Facility		$1,905.46	$2,754.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,187.76	Professional		$1,995.26	$1,995.26	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,365.16 / $5,128.61	Professional		$1,995.26	$4,365.16	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $3,981.07	Facility		$1,995.26	$2,187.76	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $2,570.40	Professional		$1,995.26	$2,187.76	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $3,388.44	Facility		$1,949.84	$1,995.26	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $5,754.40	Facility		$1,995.26	$2,754.23	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,995.26 / $2,398.83	Professional		$79.43	$1,995.26	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $6,165.95	Facility		$1,862.09	$3,162.28	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,786.30	Facility		$1,995.26	$1,995.26	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26