Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,202.26 / $1,995.26	Professional		$457.09	$1,202.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $4,168.69 / $5,370.32	Facility		$213.80	$4,168.69	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $758.58	Professional		$281.84	$489.78	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $676.08	Professional		$489.78	$537.03	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $676.08 / $2,238.72	Facility		$125.89	$676.08	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $1,737.80	Professional		$331.13	$457.09	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $64.57	Facility		$51.29	$60.26	$64.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $562.34 / $2,511.89	Facility		$125.89	$562.34	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $2,238,721.14 / $2,398,832.92	Professional		$426.58	$2,238,721.14	$2,398,832.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,570.88 / $6,456.54	Facility		$2,041.74	$4,570.88	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $676.08	Professional		$457.09	$524.81	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,888.44 / $7,762.47	Facility		$4,786.30	$5,888.44	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,698.24 / $4,168.69	Professional		$331.13	$1,698.24	$4,168.69