Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.88 / $378.88 / $378.88	Facility		$378.88	$378.88	$378.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.08 / $322.47 / $378.88	Professional		$287.08	$322.47	$378.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $354.68 / $354.68	Professional		$354.68	$354.68	$354.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,097.89 / $1,119.95 / $1,214.71	Professional		$1,097.89	$1,119.95	$1,214.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $304.94 / $1,126.31	Facility		$182.43	$304.94	$1,126.31
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 $709.50 / $852.20 / $864.30	Facility		$709.50	$852.20	$864.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $709.50 / $852.20 / $864.30	Professional		$709.50	$852.20	$864.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $301.44 / $835.20	Facility		$182.43	$301.44	$835.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $2,250,000.00 / $2,400,000.00	Professional		$354.68	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $791.59 / $791.59 / $931.12	Facility		$791.59	$791.59	$931.12
United Facility/Professional Professional Modifier Low / Median / High Price $277.13 / $279.33 / $453.24	Professional		$277.13	$279.33	$453.24