Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.60 / $2,617.54 / $2,617.54	Facility		$788.60	$2,617.54	$2,617.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.63 / $991.52 / $1,112.45	Professional		$731.63	$991.52	$1,112.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.08 / $1,159.26 / $1,523.52	Professional		$1,156.08	$1,159.26	$1,523.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,628.86 / $1,962.03 / $2,487.12	Professional		$1,628.86	$1,962.03	$2,487.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $991.52 / $1,189.82 / $2,174.25	Facility		$991.52	$1,189.82	$2,174.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.36 / $1,135.11 / $1,968.17	Professional		$1,008.36	$1,135.11	$1,968.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,476.75 / $1,773.76 / $1,798.95	Facility		$1,476.75	$1,773.76	$1,798.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $991.52 / $1,226.25 / $2,394.44	Facility		$991.52	$1,226.25	$2,394.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $1,403.22 / $4,764.64	Facility		$6.80	$1,403.22	$4,764.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.77 / $1,308.77 / $1,505.09	Professional		$1,308.77	$1,308.77	$1,505.09