Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $891.25	Professional		$380.19	$478.63	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $588.84	Professional		$204.17	$275.42	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,584.89 / $2,041.74	Professional		$524.81	$1,584.89	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $416.87 / $707.95	Facility		$56.23	$416.87	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $758.58	Professional		$645.65	$707.95	$758.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $776.25 / $851.14	Facility		$724.44	$776.25	$851.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $851.14	Professional		$660.69	$758.58	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $2,691,534.80	Facility		$275.42	$537.03	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $234.42 / $724.44	Professional		$87.10	$234.42	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,454.71	Facility		$758.58	$1,071.52	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $416.87 / $562.34	Facility		$56.23	$416.87	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $363.08 / $707.95	Professional		$346.74	$363.08	$707.95