Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $165.96	Professional		$97.72	$114.82	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $323.59	Professional		$107.15	$229.09	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $275.42	Professional		$186.21	$234.42	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $162.18 / $309.03	Facility		$42.66	$162.18	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $478.63	Professional		$102.33	$165.96	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $218.78 / $234.42	Facility		$158.49	$218.78	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $165.96 / $389.05	Facility		$43.65	$165.96	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $2,238,721.14 / $2,630,267.99	Professional		$204.17	$2,238,721.14	$2,630,267.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $316.23	Professional		$213.80	$245.47	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $724.44	Professional		$223.87	$281.84	$724.44