Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.23 / $1,028.84 / $2,011.62	Facility		$691.23	$1,028.84	$2,011.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.47 / $836.47 / $1,032.19	Professional		$836.47	$836.47	$1,032.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.74 / $360.74 / $360.74	Professional		$360.74	$360.74	$360.74
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 $1,032.19 / $1,032.19 / $2,219.21	Facility		$1,032.19	$1,032.19	$2,219.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $551.28 / $79,999.20 / $79,999.20	Facility		$551.28	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,032.19 / $1,032.19 / $2,219.21	Facility		$1,032.19	$1,032.19	$2,219.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.74 / $2,250,000.00 / $2,400,000.00	Professional		$360.74	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,576.43 / $2,068.85 / $2,528.46	Facility		$1,576.43	$2,068.85	$2,528.46