Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $652.66 / $652.66	Facility		$652.66	$652.66	$652.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $988.29	Professional		$915.09	$915.09	$988.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.17 / $863.29 / $989.88	Facility		$690.17	$863.29	$989.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,079.10	Professional		$915.09	$915.09	$1,079.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.83 / $1,396.87 / $1,595.44	Professional		$1,073.83	$1,396.87	$1,595.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $915.09 / $1,958.29	Facility		$652.66	$915.09	$1,958.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $969.99 / $1,143.85	Professional		$915.09	$969.99	$1,143.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $528.01 / $915.09 / $1,899.24	Facility		$528.01	$915.09	$1,899.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $609.65 / $915.09 / $1,967.44	Facility		$609.65	$915.09	$1,967.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $609.65 / $765.72 / $2,250,000.00	Professional		$609.65	$765.72	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $869.34 / $915.09 / $915.09	Professional		$869.34	$915.09	$915.09
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,052.34	Professional		$915.09	$915.09	$1,052.34