Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $513.41 / $2,620.46	Facility		$513.41	$513.41	$2,620.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.06 / $798.38 / $798.38	Professional		$327.06	$798.38	$798.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $798.38 / $798.38 / $1,716.52	Facility		$798.38	$798.38	$1,716.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $472.33 / $79,999.20 / $79,999.20	Facility		$472.33	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $798.38 / $798.38 / $1,716.52	Facility		$798.38	$798.38	$1,716.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $2,250,000.00 / $2,400,000.00	Professional		$291.51	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,324.83 / $1,738.66 / $2,064.09	Facility		$1,324.83	$1,738.66	$2,064.09
United Facility/Professional Professional Modifier Low / Median / High Price $636.29 / $636.29 / $636.29	Professional		$636.29	$636.29	$636.29