Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.66 / $1,117.25 / $2,232.54	Facility		$740.66	$1,117.25	$2,232.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $690.18 / $885.41	Professional		$690.18	$690.18	$885.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
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 $808.34 / $808.34 / $1,737.93	Facility		$808.34	$808.34	$1,737.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $672.48 / $79,999.20 / $79,999.20	Facility		$672.48	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.34 / $808.34 / $1,737.93	Facility		$808.34	$808.34	$1,737.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $2,250,000.00 / $2,400,000.00	Professional		$240.52	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,740.92 / $2,284.71 / $2,795.30	Facility		$1,740.92	$2,284.71	$2,795.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $634.62 / $634.62 / $634.62	Professional		$634.62	$634.62	$634.62
United Facility/Professional Professional Modifier Low / Median / High Price $683.77 / $683.77 / $683.77	Professional		$683.77	$683.77	$683.77