Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.68 / $230.97 / $332.60	Professional		$154.68	$230.97	$332.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $636.79 / $835.09	Facility		$56.71	$636.79	$835.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $163.82 / $237.98	Professional		$93.18	$163.82	$237.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.24 / $189.38 / $217.49	Professional		$159.24	$189.38	$217.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.34 / $190.53 / $349.23	Facility		$59.34	$190.53	$349.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $148.80 / $174.08	Professional		$24.53	$148.80	$174.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $29.84 / $31.91	Facility		$23.81	$29.84	$31.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $160.34 / $160.34 / $160.34	Professional		$160.34	$160.34	$160.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.64 / $209.99 / $748.97	Facility		$61.64	$209.99	$748.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $2,250,000.00 / $2,400,000.00	Professional		$110.53	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $385.75 / $756.14 / $962.78	Facility		$385.75	$756.14	$962.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $174.75 / $234.00	Professional		$147.83	$174.75	$234.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.92 / $297.52 / $757.49	Professional		$211.92	$297.52	$757.49