Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,344.23 / $3,981.07	Professional		$478.63	$2,344.23	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $8,511.38 / $10,964.78	Facility		$234.42	$8,511.38	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $758.58	Professional		$281.84	$501.19	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $691.83	Professional		$489.78	$549.54	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $691.83 / $4,570.88	Facility		$87.10	$691.83	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $3,467.37	Professional		$346.74	$478.63	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $43.65 / $48.98	Facility		$39.81	$43.65	$48.98
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $575.44 / $5,011.87	Facility		$87.10	$575.44	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $2,238,721.14 / $2,398,832.92	Professional		$436.52	$2,238,721.14	$2,398,832.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,511.38 / $12,022.64	Facility		$3,311.31	$8,511.38	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $691.83	Professional		$457.09	$537.03	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $11,748.98 / $15,488.17	Facility		$9,549.93	$11,748.98	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,659.59 / $7,413.10	Professional		$338.84	$1,659.59	$7,413.10