Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $95.70 / $208.74	Professional		$83.34	$95.70	$208.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.10 / $207.44 / $269.10	Professional		$138.10	$207.44	$269.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.88 / $203.06 / $233.56	Professional		$165.88	$203.06	$233.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.79 / $132.41 / $238.00	Facility		$62.79	$132.41	$238.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $162.56 / $162.56	Professional		$158.76	$162.56	$162.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $31.70 / $160.22	Facility		$22.55	$31.70	$160.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.94 / $178.64 / $2,400,000.00	Facility		$68.94	$178.64	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $2,250,000.00 / $2,478,000.00	Professional		$145.19	$2,250,000.00	$2,478,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $214.15 / $278.75	Professional		$156.21	$214.15	$278.75
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $116.68 / $282.06	Professional		$89.75	$116.68	$282.06