Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $363.08	Professional		$75.86	$93.33	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $275.42	Professional		$104.71	$199.53	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $234.42	Professional		$151.36	$190.55	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $123.03 / $208.93	Facility		$69.18	$123.03	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $194.98	Professional		$77.62	$112.20	$194.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $158.49	Facility		$26.92	$31.62	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $125.89 / $204.17	Facility		$57.54	$125.89	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $288.40 / $2,398,832.92	Professional		$144.54	$288.40	$2,398,832.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $239.88	Professional		$165.96	$181.97	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $229.09	Professional		$89.13	$91.20	$229.09