Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.08 / $1,116.08 / $1,116.08	Facility		$1,116.08	$1,116.08	$1,116.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $106.58 / $418.29	Professional		$59.62	$106.58	$418.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,033.72 / $2,645.51 / $3,126.33	Professional		$2,033.72	$2,645.51	$3,126.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.58 / $111.91 / $2,323.14	Facility		$106.58	$111.91	$2,323.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $761.75 / $927.95 / $79,999.20	Facility		$761.75	$927.95	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.58 / $117.77 / $2,593.59	Facility		$106.58	$117.77	$2,593.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $2,400,000.00	Professional		$785.24	$785.24	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $178.70 / $312.68 / $2,416.17	Professional		$178.70	$312.68	$2,416.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.66 / $1,438.66 / $1,654.46	Professional		$1,438.66	$1,438.66	$1,654.46