Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $144.22 / $188.35	Professional		$102.03	$144.22	$188.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $289.69 / $389.42	Professional		$161.91	$289.69	$389.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.57 / $282.54 / $358.15	Professional		$217.57	$282.54	$358.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $196.93 / $346.56	Facility		$64.98	$196.93	$346.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $238.14 / $243.20	Professional		$38.42	$238.14	$243.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $35.04 / $40.61	Facility		$26.29	$35.04	$40.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.92 / $221.54 / $2,400,000.00	Facility		$70.92	$221.54	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.60 / $2,250,000.00 / $2,478,000.00	Professional		$213.60	$2,250,000.00	$2,478,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.40 / $297.16 / $379.00	Professional		$239.40	$297.16	$379.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.58 / $154.11 / $475.82	Professional		$144.58	$154.11	$475.82