Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $831.76	Professional		$371.54	$446.68	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $524.81	Professional		$389.05	$457.09	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,698.24	Professional		$537.03	$691.83	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $446.68 / $724.44	Facility		$56.23	$446.68	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $794.33	Professional		$562.34	$616.60	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $831.76	Facility		$741.31	$741.31	$831.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $758.58	Professional		$707.95	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $537.03 / $2,691,534.80	Facility		$371.54	$537.03	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $389.05 / $831.76	Professional		$87.10	$389.05	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,454.71	Facility		$741.31	$1,071.52	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $371.54 / $501.19	Facility		$50.12	$371.54	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $602.56	Professional		$295.12	$316.23	$602.56