Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $132.96 / $210.06	Professional		$79.61	$132.96	$210.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $301.52 / $367.38	Facility		$42.35	$301.52	$367.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $184.12 / $271.18	Professional		$109.58	$184.12	$271.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.08 / $215.91 / $246.33	Professional		$183.08	$215.91	$246.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.56 / $171.29 / $233.75	Facility		$82.56	$171.29	$233.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $153.15 / $172.62	Professional		$0.89	$153.15	$172.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $50.96 / $112.40	Facility		$38.61	$50.96	$112.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.29 / $171.29 / $368.27	Facility		$90.29	$171.29	$368.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $2,250,000.00 / $2,400,000.00	Professional		$124.58	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $312.19 / $372.00 / $463.05	Facility		$312.19	$372.00	$463.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $195.94 / $260.56	Professional		$164.59	$195.94	$260.56
United Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $286.52 / $482.69	Professional		$159.94	$286.52	$482.69