Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.51 / $485.83 / $681.48	Professional		$255.51	$485.83	$681.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.69 / $1,336.20 / $1,894.26	Facility		$47.69	$1,336.20	$1,894.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $137.60 / $202.17	Professional		$80.59	$137.60	$202.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $161.29 / $185.11	Professional		$135.61	$161.29	$185.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.06 / $178.92 / $715.55	Facility		$51.06	$178.92	$715.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $113.36 / $128.52	Professional		$1.04	$113.36	$128.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $25.17 / $26.81	Facility		$17.89	$25.17	$26.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.01 / $329.30 / $1,698.91	Facility		$52.01	$329.30	$1,698.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.32 / $2,250,000.00 / $2,400,000.00	Professional		$93.32	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $782.93 / $1,629.13 / $2,063.46	Facility		$782.93	$1,629.13	$2,063.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $147.16 / $197.08	Professional		$124.49	$147.16	$197.08
United Facility/Professional Professional Modifier Low / Median / High Price $281.70 / $795.09 / $1,462.87	Professional		$281.70	$795.09	$1,462.87