Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,380.38	Professional		$562.34	$758.58	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $812.83	Professional		$575.44	$676.08	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $2,570.40	Professional		$707.95	$912.01	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $562.34 / $1,230.27	Facility		$75.86	$562.34	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,230.27	Professional		$954.99	$1,071.52	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,318.26	Facility		$1,000.00	$1,000.00	$1,318.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,318.26	Professional		$1,000.00	$1,000.00	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $933.25 / $2,691,534.80	Facility		$588.84	$933.25	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $575.44 / $1,288.25	Professional		$87.10	$575.44	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,584.89 / $3,630.78	Facility		$954.99	$1,584.89	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $562.34 / $741.31	Facility		$74.13	$562.34	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $1,071.52	Professional		$549.54	$616.60	$1,071.52