Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.59 / $583.59 / $583.59	Facility		$583.59	$583.59	$583.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.20 / $496.70 / $583.59	Professional		$442.20	$496.70	$583.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $200.00	Professional		$170.00	$200.00	$200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,691.10 / $1,725.07 / $1,871.03	Professional		$1,691.10	$1,725.07	$1,871.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.01 / $469.70 / $1,734.70	Facility		$281.01	$469.70	$1,734.70
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 $1,092.84 / $1,312.65 / $1,331.29	Facility		$1,092.84	$1,312.65	$1,331.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,092.84 / $1,312.65 / $1,331.29	Professional		$1,092.84	$1,312.65	$1,331.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.01 / $464.31 / $1,285.92	Facility		$281.01	$464.31	$1,285.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $2,400,000.00	Professional		$170.00	$200.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,219.29 / $1,219.29 / $1,434.20	Facility		$1,219.29	$1,219.29	$1,434.20
United Facility/Professional Professional Modifier Low / Median / High Price $405.80 / $430.26 / $717.10	Professional		$405.80	$430.26	$717.10