Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.07 / $1,090.07 / $1,090.07	Facility		$1,090.07	$1,090.07	$1,090.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $761.10	Professional		$656.12	$656.12	$761.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.98 / $618.98 / $2,060.28	Facility		$618.98	$618.98	$2,060.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $773.73	Professional		$656.12	$656.12	$773.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,074.82 / $2,393.44 / $2,772.55	Professional		$1,074.82	$2,393.44	$2,772.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $821.79 / $1,834.80	Facility		$656.12	$821.79	$1,834.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $754.54 / $852.96	Professional		$656.12	$754.54	$852.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $393.38 / $680.88 / $1,744.11	Facility		$393.38	$680.88	$1,744.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $614.65 / $656.12 / $2,084.96	Facility		$614.65	$656.12	$2,084.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.74 / $711.83 / $2,250,000.00	Professional		$318.74	$711.83	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $623.30 / $656.12 / $656.12	Professional		$623.30	$656.12	$656.12
United Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $754.54	Professional		$656.12	$656.12	$754.54