Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $530.00 / $530.00	Facility		$530.00	$530.00	$530.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.38 / $2,784.38 / $2,867.91	Professional		$347.38	$2,784.38	$2,867.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $185.30 / $2,626.77	Facility		$132.91	$185.30	$2,626.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,152.13	Professional		$2,784.38	$2,784.38	$3,152.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.50 / $1,120.84 / $1,348.45	Professional		$206.50	$1,120.84	$1,348.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,784.38 / $5,958.57	Facility		$530.00	$2,784.38	$5,958.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,951.44 / $3,480.48	Professional		$2,784.38	$2,951.44	$3,480.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,784.38 / $8,353.14	Facility		$500.00	$2,784.38	$8,353.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.41 / $2,784.38 / $4,620.00	Facility		$117.41	$2,784.38	$4,620.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $120.33 / $3,020.79	Professional		$113.99	$120.33	$3,020.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,645.16 / $2,784.38 / $2,784.38	Professional		$2,645.16	$2,784.38	$2,784.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,202.04	Professional		$2,784.38	$2,784.38	$3,202.04