Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $86.55 / $116.95	Professional		$55.22	$86.55	$116.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $165.26 / $241.91	Professional		$96.23	$165.26	$241.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.55 / $190.98 / $219.44	Professional		$160.55	$190.98	$219.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.37 / $116.95 / $212.48	Facility		$56.37	$116.95	$212.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.97 / $257.92 / $258.93	Professional		$178.97	$257.92	$258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.14 / $160.56 / $164.82	Facility		$108.14	$160.56	$164.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $116.95 / $251.44	Facility		$57.96	$116.95	$251.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $2,250,000.00 / $2,400,000.00	Professional		$157.10	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $149.03 / $177.58 / $235.93	Professional		$149.03	$177.58	$235.93
United Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $206.52 / $486.79	Professional		$161.25	$206.52	$486.79