Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.65 / $2,297.83 / $3,999.67	Professional		$449.65	$2,297.83	$3,999.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.02 / $7,918.45 / $10,873.93	Facility		$234.02	$7,918.45	$10,873.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.54 / $506.95 / $747.37	Professional		$289.54	$506.95	$747.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $498.96 / $595.77 / $691.46	Professional		$498.96	$595.77	$691.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.97 / $662.34 / $4,199.64	Facility		$77.97	$662.34	$4,199.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $412.02 / $470.61	Professional		$4.80	$412.02	$470.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.51 / $43.35 / $461.52	Facility		$32.51	$43.35	$461.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $1,866.47 / $9,752.56	Facility		$87.00	$1,866.47	$9,752.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.66 / $2,250,000.00 / $2,400,000.00	Professional		$340.66	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,310.39 / $9,059.40 / $11,922.39	Facility		$3,310.39	$9,059.40	$11,922.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $459.05 / $546.90 / $726.73	Professional		$459.05	$546.90	$726.73
United Facility/Professional Professional Modifier Low / Median / High Price $780.94 / $1,880.46 / $7,863.31	Professional		$780.94	$1,880.46	$7,863.31