Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.62 / $4,704.00 / $8,728.00	Facility		$610.62	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.11 / $532.05 / $878.53	Professional		$206.11	$532.05	$878.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $540.82	Professional		$540.82	$540.82	$540.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,192.43 / $1,476.54 / $1,684.77	Professional		$1,192.43	$1,476.54	$1,684.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.51 / $922.46 / $1,353.00	Facility		$227.51	$922.46	$1,353.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $414.93 / $414.93 / $842.18	Professional		$414.93	$414.93	$842.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $585.26 / $938.24 / $1,264.78	Facility		$585.26	$938.24	$1,264.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.51 / $1,236.21 / $2,400,000.00	Facility		$227.51	$1,236.21	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $2,067.73 / $2,250,000.00	Professional		$540.82	$2,067.73	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,428.83 / $1,813.69 / $2,182.61	Facility		$1,428.83	$1,813.69	$2,182.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,065.13 / $1,252.00 / $1,789.58	Professional		$1,065.13	$1,252.00	$1,789.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.91 / $1,170.43 / $1,741.42	Professional		$805.91	$1,170.43	$1,741.42