Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.60 / $575.60 / $575.60	Facility		$575.60	$575.60	$575.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $477.75 / $575.60	Professional		$460.48	$477.75	$575.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.86 / $528.86 / $1,016.86	Facility		$528.86	$528.86	$1,016.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $575.58	Professional		$508.43	$508.43	$575.58
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 $477.75 / $508.43 / $1,027.16	Facility		$477.75	$508.43	$1,027.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $581.75 / $687.52 / $1,322.15	Professional		$581.75	$687.52	$1,322.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $635.04 / $79,999.20 / $79,999.20	Facility		$635.04	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.75 / $508.43 / $1,027.16	Facility		$477.75	$508.43	$1,027.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $719.48 / $2,400,000.00	Professional		$508.43	$719.48	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $466.51 / $723.09 / $1,484.23	Facility		$466.51	$723.09	$1,484.23
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $575.60 / $667.70	Professional		$575.60	$575.60	$667.70