Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $368.88	Professional		$318.00	$318.00	$368.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $524.80 / $547.02	Facility		$300.00	$524.80	$547.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $375.00	Professional		$318.00	$318.00	$375.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.07 / $775.38 / $1,062.47	Professional		$533.07	$775.38	$1,062.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $1,595.00	Facility		$318.00	$318.00	$1,595.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $365.70 / $413.40	Professional		$318.00	$365.70	$413.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $381.60 / $954.00	Facility		$300.00	$381.60	$954.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $381.60 / $1,595.00	Facility		$318.00	$381.60	$1,595.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $463.58 / $2,250,000.00	Professional		$318.00	$463.58	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.10 / $318.00 / $318.00	Professional		$302.10	$318.00	$318.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $365.70	Professional		$318.00	$318.00	$365.70