Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $1,500.00 / $1,765.00	Professional		$950.00	$1,500.00	$1,765.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,674.58 / $7,674.58 / $7,674.58	Facility		$7,674.58	$7,674.58	$7,674.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.57 / $1,681.63 / $1,885.52	Professional		$710.57	$1,681.63	$1,885.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,367.92 / $1,594.58 / $1,702.40	Professional		$1,367.92	$1,594.58	$1,702.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,725.57 / $3,225.00	Facility		$1,300.00	$1,725.57	$3,225.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,033.11 / $1,475.89 / $1,659.05	Facility		$1,033.11	$1,475.89	$1,659.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,028.64 / $1,028.64 / $1,028.64	Professional		$1,028.64	$1,028.64	$1,028.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,145.00 / $2,400,000.00	Facility		$1,500.00	$2,145.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,396.70 / $1,800,000.00 / $2,478,000.00	Professional		$1,396.70	$1,800,000.00	$2,478,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,462.49 / $7,691.97 / $11,363.42	Facility		$5,462.49	$7,691.97	$11,363.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,241.73 / $1,617.21 / $1,867.52	Professional		$1,241.73	$1,617.21	$1,867.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,423.42 / $2,423.42 / $6,588.62	Professional		$2,423.42	$2,423.42	$6,588.62