Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.59 / $346.17 / $426.94	Professional		$203.59	$346.17	$426.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $359.63 / $359.63	Professional		$359.63	$359.63	$359.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $736.02 / $928.58 / $1,211.59	Professional		$736.02	$928.58	$1,211.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $348.31 / $559.80 / $1,059.48	Facility		$348.31	$559.80	$1,059.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $918.56 / $918.56 / $918.56	Professional		$918.56	$918.56	$918.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $719.40 / $864.09 / $876.36	Facility		$719.40	$864.09	$876.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.56 / $581.39 / $1,148.38	Facility		$370.56	$581.39	$1,148.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $2,250,000.00 / $2,400,000.00	Professional		$359.63	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $877.67 / $971.19 / $1,210.46	Professional		$877.67	$971.19	$1,210.46
United Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $283.23 / $472.05	Professional		$188.82	$283.23	$472.05