Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $162.18	Professional		$97.72	$117.49	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $234.42 / $331.13	Professional		$109.65	$234.42	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $302.00	Professional		$199.53	$251.19	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $151.36 / $251.19	Facility		$70.79	$151.36	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $223.87	Professional		$102.33	$162.18	$223.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $218.78	Facility		$51.29	$60.26	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $162.18 / $257.04	Facility		$74.13	$162.18	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $2,238,721.14 / $2,630,267.99	Professional		$204.17	$2,238,721.14	$2,630,267.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $316.23	Professional		$213.80	$245.47	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $346.74	Professional		$134.90	$138.04	$346.74