Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $223.87	Professional		$128.82	$165.96	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $512.86	Professional		$177.83	$316.23	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $426.58	Professional		$309.03	$346.74	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $363.08	Facility		$114.82	$213.80	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $275.42	Professional		$128.82	$199.53	$275.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $316.23 / $323.59	Facility		$218.78	$316.23	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $223.87 / $380.19	Facility		$123.03	$223.87	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $2,238,721.14 / $2,398,832.92	Professional		$275.42	$2,238,721.14	$2,398,832.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $436.52	Professional		$288.40	$346.74	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $501.19	Professional		$158.49	$199.53	$501.19