Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $520.91 / $558.65	Professional		$242.66	$520.91	$558.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $282.08 / $282.08	Professional		$282.08	$282.08	$282.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.99 / $1,248.30 / $1,491.94	Professional		$637.99	$1,248.30	$1,491.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $352.21 / $552.53 / $963.36	Facility		$352.21	$552.53	$963.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.99 / $506.84 / $669.89	Professional		$478.99	$506.84	$669.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $623.04 / $637.99 / $701.79	Facility		$623.04	$637.99	$701.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.36 / $575.45 / $1,103.72	Facility		$362.36	$575.45	$1,103.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $607.25 / $2,550,000.00	Professional		$282.08	$607.25	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.99 / $293.18 / $559.35	Professional		$278.99	$293.18	$559.35