Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.87 / $111.15 / $1,140.23	Facility		$82.87	$111.15	$1,140.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.20 / $821.32 / $1,071.73	Professional		$473.20	$821.32	$1,071.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.96 / $818.96 / $818.96	Professional		$818.96	$818.96	$818.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $217.20 / $2,169.26	Professional		$162.26	$217.20	$2,169.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.16 / $1,071.73 / $2,304.21	Facility		$123.16	$1,071.73	$2,304.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $286.48 / $2,403.48	Professional		$148.47	$286.48	$2,403.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $128.06 / $134.22	Facility		$64.88	$128.06	$134.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.35 / $1,114.59 / $2,361.48	Facility		$138.35	$1,114.59	$2,361.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.48 / $1,039.18 / $2,250,000.00	Professional		$173.48	$1,039.18	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,707.97 / $5,897.44 / $7,226.89	Facility		$4,707.97	$5,897.44	$7,226.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $838.24 / $1,059.83 / $1,649.86	Professional		$838.24	$1,059.83	$1,649.86
United Facility/Professional Professional Modifier Low / Median / High Price $407.12 / $1,376.41 / $1,900.59	Professional		$407.12	$1,376.41	$1,900.59