Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $8,217.17 / $30,593.00	Facility		$5,116.62	$8,217.17	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,579.61 / $6,579.61 / $7,074.00	Professional		$6,579.61	$6,579.61	$7,074.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $4,375.60	Facility		$4,375.60	$4,375.60	$4,375.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.76 / $696.76 / $696.76	Professional		$696.76	$696.76	$696.76
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 $6,579.61 / $6,579.61 / $6,579.61	Facility		$6,579.61	$6,579.61	$6,579.61
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 $4,375.60 / $2,400,000.00 / $2,400,000.00	Facility		$4,375.60	$2,400,000.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $696.76 / $2,250,000.00 / $2,400,000.00	Professional		$696.76	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,886.94 / $10,053.51 / $14,336.76	Facility		$6,886.94	$10,053.51	$14,336.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,009.68 / $4,111.75 / $4,445.84	Professional		$2,009.68	$4,111.75	$4,445.84
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