Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Facility		$487.59	$487.59	$487.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $565.60	Professional		$487.59	$487.59	$565.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.99 / $490.53 / $986.60	Facility		$459.99	$490.53	$986.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $574.98	Professional		$487.59	$487.59	$574.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $763.36 / $1,003.99 / $1,191.45	Professional		$763.36	$1,003.99	$1,191.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $1,078.00	Facility		$487.59	$487.59	$1,078.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $516.84 / $609.49	Professional		$487.59	$516.84	$609.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.99 / $543.20 / $1,274.77	Facility		$459.99	$543.20	$1,274.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.30 / $490.53 / $1,078.00	Facility		$433.30	$490.53	$1,078.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $433.30 / $640.57 / $2,250,000.00	Professional		$433.30	$640.57	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $463.21 / $487.59 / $487.59	Professional		$463.21	$487.59	$487.59
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $560.73	Professional		$487.59	$487.59	$560.73