Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.46 / $941.46 / $941.46	Facility		$941.46	$941.46	$941.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $827.66	Professional		$713.50	$713.50	$827.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $1,812.36 / $1,950.52	Facility		$673.11	$1,812.36	$1,950.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $841.39	Professional		$713.50	$713.50	$841.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,578.63 / $2,296.19 / $3,667.22	Professional		$1,578.63	$2,296.19	$3,667.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $941.46 / $1,749.00	Facility		$713.50	$941.46	$1,749.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $784.85 / $927.55	Professional		$713.50	$784.85	$927.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $941.46 / $2,140.50	Facility		$713.50	$941.46	$2,140.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $977.50 / $1,812.36	Facility		$713.50	$977.50	$1,812.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $1,600.93 / $2,250,000.00	Professional		$713.50	$1,600.93	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $677.83 / $713.50 / $713.50	Professional		$677.83	$713.50	$713.50
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $820.53	Professional		$713.50	$713.50	$820.53