Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.30 / $1,432.35 / $1,979.55	Professional		$456.30	$1,432.35	$1,979.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.53 / $3,890.90 / $5,366.80	Facility		$211.53	$3,890.90	$5,366.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $502.07 / $737.53	Professional		$283.14	$502.07	$737.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.75 / $583.58 / $674.04	Professional		$488.75	$583.58	$674.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.09 / $662.15 / $2,078.53	Facility		$111.09	$662.15	$2,078.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $400.03 / $456.75	Professional		$4.21	$400.03	$456.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.72 / $59.28 / $447.66	Facility		$46.72	$59.28	$447.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $708.57 / $708.57 / $708.57	Professional		$708.57	$708.57	$708.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.25 / $956.54 / $4,813.35	Facility		$125.25	$956.54	$4,813.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.49 / $2,250,000.00 / $2,400,000.00	Professional		$337.49	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,064.48 / $4,597.50 / $6,342.83	Facility		$2,064.48	$4,597.50	$6,342.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $451.87 / $540.53 / $715.36	Professional		$451.87	$540.53	$715.36
United Facility/Professional Professional Modifier Low / Median / High Price $799.57 / $1,690.80 / $4,797.43	Professional		$799.57	$1,690.80	$4,797.43