Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.99 / $681.99 / $681.99	Facility		$681.99	$681.99	$681.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.76 / $580.44 / $681.99	Professional		$516.76	$580.44	$681.99
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 $1,976.20 / $2,015.91 / $2,186.46	Professional		$1,976.20	$2,015.91	$2,186.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $328.38 / $548.89 / $2,027.69	Facility		$328.38	$548.89	$2,027.69
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 $1,277.09 / $1,533.96 / $1,555.74	Facility		$1,277.09	$1,533.96	$1,555.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,277.09 / $1,533.96 / $1,555.74	Professional		$1,277.09	$1,533.96	$1,555.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.38 / $542.60 / $1,503.36	Facility		$328.38	$542.60	$1,503.36
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 $1,424.85 / $1,424.85 / $1,676.00	Facility		$1,424.85	$1,424.85	$1,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.83 / $502.80 / $826.20	Professional		$498.83	$502.80	$826.20