Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,213.00 / $6,629.40 / $8,728.00	Facility		$3,213.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,057.17 / $8,057.17 / $8,057.17	Professional		$8,057.17	$8,057.17	$8,057.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $4,514.09	Facility		$4,375.60	$4,375.60	$4,514.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.70 / $662.70 / $662.70	Professional		$662.70	$662.70	$662.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8,057.17 / $8,057.17 / $8,057.17	Facility		$8,057.17	$8,057.17	$8,057.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,655.16 / $4,655.16 / $6,683.67	Professional		$4,655.16	$4,655.16	$6,683.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,648.96 / $9,268.00 / $79,999.20	Facility		$3,648.96	$9,268.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,514.09 / $2,400,000.00 / $2,400,000.00	Facility		$4,514.09	$2,400,000.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.70 / $2,250,000.00 / $2,400,000.00	Professional		$662.70	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,714.52 / $11,673.27 / $15,167.63	Facility		$8,714.52	$11,673.27	$15,167.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,412.14 / $2,412.14 / $2,412.14	Professional		$2,412.14	$2,412.14	$2,412.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00