Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.71 / $545.71 / $545.71	Facility		$545.71	$545.71	$545.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.49 / $464.45 / $545.71	Professional		$413.49	$464.45	$545.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $128.00	Professional		$108.80	$128.00	$128.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,581.29 / $1,613.07 / $1,749.54	Professional		$1,581.29	$1,613.07	$1,749.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $439.21 / $1,622.65	Facility		$262.77	$439.21	$1,622.65
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 $1,021.90 / $1,227.43 / $1,244.85	Facility		$1,021.90	$1,227.43	$1,244.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,021.90 / $1,227.43 / $1,244.85	Professional		$1,021.90	$1,227.43	$1,244.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $434.16 / $1,202.40	Facility		$262.77	$434.16	$1,202.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $2,400,000.00	Professional		$108.80	$128.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,140.11 / $1,140.11 / $1,341.08	Facility		$1,140.11	$1,140.11	$1,341.08
United Facility/Professional Professional Modifier Low / Median / High Price $399.14 / $402.32 / $652.80	Professional		$399.14	$402.32	$652.80