Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.70 / $382.70 / $382.70	Facility		$382.70	$382.70	$382.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.71 / $561.74 / $561.74	Professional		$374.71	$561.74	$561.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.98 / $709.98 / $709.98	Facility		$709.98	$709.98	$709.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Professional		$358.29	$358.29	$358.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.65 / $925.40 / $1,030.15	Professional		$715.65	$925.40	$1,030.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $374.71 / $535.84 / $805.63	Facility		$374.71	$535.84	$805.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $387.11 / $455.42 / $792.69	Facility		$387.11	$455.42	$792.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.71 / $584.36 / $805.63	Facility		$374.71	$584.36	$805.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $546.50 / $1,800,000.00	Professional		$358.29	$546.50	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.80 / $676.80 / $812.16	Professional		$676.80	$676.80	$812.16