Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.06 / $269.06 / $429.32	Professional		$269.06	$269.06	$429.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $289.52 / $289.52	Professional		$289.52	$289.52	$289.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $941.10 / $941.10 / $1,020.74	Professional		$941.10	$941.10	$1,020.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.19 / $429.32 / $30,917.50	Facility		$283.19	$429.32	$30,917.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.15 / $705.51 / $705.51	Facility		$579.15	$705.51	$705.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.59 / $429.32 / $588.16	Facility		$372.59	$429.32	$588.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $921.06 / $2,400,000.00	Professional		$289.52	$921.06	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $560.45 / $589.95 / $941.64	Professional		$560.45	$589.95	$941.64
United Facility/Professional Professional Modifier Low / Median / High Price $402.15 / $682.87 / $1,047.04	Professional		$402.15	$682.87	$1,047.04