Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.75 / $61.75 / $120.08	Facility		$61.75	$61.75	$120.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $722.35 / $1,080.60	Professional		$61.75	$722.35	$1,080.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.35 / $445.53 / $1,952.37	Professional		$360.35	$445.53	$1,952.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $1,080.60 / $1,701.96	Facility		$157.91	$1,080.60	$1,701.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $80.28 / $80.28	Professional		$80.28	$80.28	$80.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.58 / $124.47 / $1,536.98	Facility		$99.58	$124.47	$1,536.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $1,080.60 / $2,323.31	Facility		$157.91	$1,080.60	$2,323.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $444.74 / $2,250,000.00	Professional		$241.87	$444.74	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $6,178.58 / $7,048.47	Facility		$4,573.85	$6,178.58	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $382.94 / $1,619.11 / $2,092.36	Professional		$382.94	$1,619.11	$2,092.36
United Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $360.60 / $1,980.86	Professional		$87.51	$360.60	$1,980.86