Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,867.35 / $2,867.35 / $2,867.35	Facility		$2,867.35	$2,867.35	$2,867.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.12 / $1,066.71 / $7,372.80	Professional		$875.12	$1,066.71	$7,372.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $90.48 / $2,758.61	Facility		$55.85	$90.48	$2,758.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $1,051.80 / $2,019.09	Professional		$34.36	$1,051.80	$2,019.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,111.81 / $2,749.75 / $2,966.84	Professional		$1,111.81	$2,749.75	$2,966.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $926.12 / $1,268.35 / $2,398.76	Facility		$926.12	$1,268.35	$2,398.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,177.71 / $2,177.71 / $2,177.71	Professional		$2,177.71	$2,177.71	$2,177.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $413.00 / $1,890.35 / $2,302.79	Facility		$413.00	$1,890.35	$2,302.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $926.12 / $1,268.35 / $2,398.76	Facility		$926.12	$1,268.35	$2,398.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $530.39 / $2,177.71 / $2,400,000.00	Professional		$530.39	$2,177.71	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.47 / $574.32 / $722.08	Facility		$404.47	$574.32	$722.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $949.84 / $1,816.99 / $2,820.06	Professional		$949.84	$1,816.99	$2,820.06
United Facility/Professional Professional Modifier Low / Median / High Price $408.84 / $440.24 / $1,233.83	Professional		$408.84	$440.24	$1,233.83