Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.09 / $985.09 / $985.09	Facility		$985.09	$985.09	$985.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.43 / $838.41 / $985.09	Professional		$746.43	$838.41	$985.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Facility		$360.90	$360.90	$360.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $360.90 / $360.90	Professional		$306.77	$360.90	$360.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,854.51 / $2,911.86 / $3,158.22	Professional		$2,854.51	$2,911.86	$3,158.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $474.33 / $792.84 / $2,928.24	Facility		$474.33	$792.84	$2,928.24
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 $1,844.70 / $2,215.71 / $2,247.17	Facility		$1,844.70	$2,215.71	$2,247.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,844.70 / $2,215.71 / $2,247.17	Professional		$1,844.70	$2,215.71	$2,247.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $474.33 / $783.75 / $2,171.52	Facility		$474.33	$783.75	$2,171.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $360.90 / $2,400,000.00	Professional		$306.77	$360.90	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,058.13 / $2,058.13 / $2,420.90	Facility		$2,058.13	$2,058.13	$2,420.90
United Facility/Professional Professional Modifier Low / Median / High Price $720.53 / $726.27 / $1,193.41	Professional		$720.53	$726.27	$1,193.41