Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $122.60 / $164.66	Professional		$91.69	$122.60	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $250.94 / $344.18	Professional		$146.22	$250.94	$344.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $247.85 / $310.25	Professional		$188.75	$247.85	$310.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.85 / $179.57 / $292.41	Facility		$97.85	$179.57	$292.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $219.24 / $223.36	Professional		$67.23	$219.24	$223.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.70 / $60.88 / $217.89	Facility		$48.70	$60.88	$217.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.85 / $206.23 / $2,400,000.00	Facility		$97.85	$206.23	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.56 / $2,250,000.00 / $2,478,000.00	Professional		$183.56	$2,250,000.00	$2,478,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $210.67 / $261.36 / $333.52	Professional		$210.67	$261.36	$333.52
United Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $137.59 / $416.27	Professional		$134.52	$137.59	$416.27