Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $1,150.00	Facility		$1,150.00	$1,150.00	$1,150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $977.50	Professional		$839.50	$977.50	$977.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $79.95 / $178.00	Professional		$79.95	$79.95	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $945.00	Facility		$600.00	$600.00	$945.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.46 / $184.46 / $1,291.20	Professional		$184.46	$184.46	$1,291.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $1,614.00 / $79,999.20	Facility		$1,614.00	$1,614.00	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,614.00 / $1,614.00 / $1,614.00	Professional		$1,614.00	$1,614.00	$1,614.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $2,300.00	Facility		$600.00	$600.00	$2,300.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $2,400,000.00	Professional		$839.50	$977.50	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.72 / $466.20 / $466.20	Professional		$279.72	$466.20	$466.20