Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $730.43 / $730.43	Facility		$730.43	$730.43	$730.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $760.15	Professional		$655.29	$655.29	$760.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.21 / $1,438.19 / $1,880.30	Facility		$618.21	$1,438.19	$1,880.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $772.76	Professional		$655.29	$655.29	$772.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,224.52 / $1,781.11 / $2,910.44	Professional		$1,224.52	$1,781.11	$2,910.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $730.43 / $1,925.00	Facility		$655.29	$730.43	$1,925.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $753.60 / $851.89	Professional		$655.29	$753.60	$851.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $730.44 / $1,965.90	Facility		$655.29	$730.44	$1,965.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $897.76 / $1,925.00	Facility		$655.29	$897.76	$1,925.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $1,433.00 / $2,250,000.00	Professional		$655.29	$1,433.00	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $622.54 / $655.29 / $655.29	Professional		$622.54	$655.29	$655.29
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $753.60	Professional		$655.29	$655.29	$753.60