Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.20 / $421.20 / $421.20	Facility		$421.20	$421.20	$421.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $450.00 / $450.00	Professional		$421.20	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.73 / $371.73 / $371.73	Professional		$371.73	$371.73	$371.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.64 / $987.91 / $1,183.83	Professional		$443.64	$987.91	$1,183.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $643.50 / $38,881.35	Facility		$450.00	$643.50	$38,881.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $421.20 / $468.45 / $502.20	Facility		$421.20	$468.45	$502.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,044.70 / $1,644,259.88	Facility		$450.00	$1,044.70	$1,644,259.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $589.35 / $1,088.80 / $1,252.11	Professional		$589.35	$1,088.80	$1,252.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,228.92 / $1,539.40 / $1,872.59	Facility		$1,228.92	$1,539.40	$1,872.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.72 / $837.84 / $1,178.55	Professional		$618.72	$837.84	$1,178.55