Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.87 / $719.87 / $719.87	Facility		$719.87	$719.87	$719.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.47 / $612.69 / $719.87	Professional		$545.47	$612.69	$719.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $359.59 / $359.59	Professional		$305.64	$359.59	$359.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,085.98 / $2,127.89 / $2,307.92	Professional		$2,085.98	$2,127.89	$2,307.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.63 / $579.38 / $2,139.73	Facility		$346.63	$579.38	$2,139.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17,728.12 / $17,728.12 / $17,728.12	Professional		$17,728.12	$17,728.12	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.05 / $1,619.18 / $1,642.17	Facility		$1,348.05	$1,619.18	$1,642.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,348.05 / $1,619.18 / $1,642.17	Professional		$1,348.05	$1,619.18	$1,642.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.63 / $572.74 / $1,586.88	Facility		$346.63	$572.74	$1,586.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $359.59 / $2,400,000.00	Professional		$305.64	$359.59	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,504.02 / $1,504.02 / $1,769.12	Facility		$1,504.02	$1,504.02	$1,769.12
United Facility/Professional Professional Modifier Low / Median / High Price $500.56 / $530.74 / $872.11	Professional		$500.56	$530.74	$872.11