Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,756.38 / $2,756.38 / $2,756.38	Facility		$2,756.38	$2,756.38	$2,756.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.64 / $1,059.71 / $8,684.79	Professional		$877.64	$1,059.71	$8,684.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $86.99 / $2,652.09	Facility		$53.70	$86.99	$2,652.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $1,011.20 / $1,940.96	Professional		$33.04	$1,011.20	$1,940.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,069.08 / $2,644.07 / $2,852.80	Professional		$1,069.08	$2,644.07	$2,852.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.10 / $1,219.53 / $2,305.92	Facility		$870.10	$1,219.53	$2,305.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $787.50 / $787.50 / $870.00	Professional		$787.50	$787.50	$870.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $413.00 / $1,817.20 / $2,213.67	Facility		$413.00	$1,817.20	$2,213.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.83 / $1,219.53 / $2,305.92	Facility		$294.83	$1,219.53	$2,305.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $509.94 / $1,940.96 / $2,250,000.00	Professional		$509.94	$1,940.96	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.47 / $509.18 / $639.41	Facility		$404.47	$509.18	$639.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $913.08 / $1,746.96 / $2,710.93	Professional		$913.08	$1,746.96	$2,710.93
United Facility/Professional Professional Modifier Low / Median / High Price $393.15 / $426.16 / $1,317.81	Professional		$393.15	$426.16	$1,317.81