Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $6,456.54	Professional		$977.24	$977.24	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $20,417.38	Facility		$7,943.28	$7,943.28	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $977.24 / $20,417.38	Professional		$60.26	$977.24	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,623.41 / $5,623.41	Facility		$831.76	$5,623.41	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,659,586.91	Facility		$691.83	$691.83	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $10,000.00	Facility		$1,698.24	$5,754.40	$10,000.00