Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.43 / $955.43 / $955.43	Facility		$955.43	$955.43	$955.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.95 / $813.17 / $955.43	Professional		$723.95	$813.17	$955.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $894.40 / $894.40	Professional		$894.40	$894.40	$894.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,768.54 / $2,824.17 / $3,063.12	Professional		$2,768.54	$2,824.17	$3,063.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.08 / $768.98 / $2,840.26	Facility		$460.08	$768.98	$2,840.26
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 $1,789.15 / $2,149.00 / $2,179.51	Facility		$1,789.15	$2,149.00	$2,179.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,789.15 / $2,149.00 / $2,179.51	Professional		$1,789.15	$2,149.00	$2,179.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.08 / $760.15 / $2,106.71	Facility		$460.08	$760.15	$2,106.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $2,250,000.00 / $2,400,000.00	Professional		$894.40	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,996.14 / $1,996.14 / $2,347.98	Facility		$1,996.14	$1,996.14	$2,347.98
United Facility/Professional Professional Modifier Low / Median / High Price $698.83 / $704.39 / $1,157.47	Professional		$698.83	$704.39	$1,157.47