Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.36 / $1,422.72 / $1,422.72	Facility		$711.36	$1,422.72	$1,422.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $590.42 / $711.36	Professional		$569.09	$590.42	$711.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $628.37 / $1,256.74	Facility		$628.37	$628.37	$1,256.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $711.36	Professional		$628.37	$628.37	$711.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.80 / $923.65 / $1,170.83	Professional		$766.80	$923.65	$1,170.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $628.37 / $1,269.42	Facility		$538.00	$628.37	$1,269.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $453.33 / $515.26 / $628.37	Professional		$453.33	$515.26	$628.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $695.20 / $835.02 / $846.88	Facility		$695.20	$835.02	$846.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $628.37 / $1,300.02	Facility		$538.00	$628.37	$1,300.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $2,250,000.00 / $2,400,000.00	Professional		$628.37	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $628.62 / $1,386.93 / $1,752.57	Facility		$628.62	$1,386.93	$1,752.57
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $592.79 / $681.72	Professional		$592.79	$592.79	$681.72