Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.58 / $235.16 / $338.43	Professional		$165.58	$235.16	$338.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.92 / $691.56 / $835.09	Facility		$521.92	$691.56	$835.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $210.52 / $287.33	Professional		$121.06	$210.52	$287.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $206.48 / $261.11	Professional		$171.00	$206.48	$261.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.22 / $230.18 / $473.34	Facility		$62.22	$230.18	$473.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $171.36 / $176.00	Professional		$42.70	$171.36	$176.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $40.42 / $179.65	Facility		$30.94	$40.42	$179.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $249.00 / $2,400,000.00	Facility		$75.91	$249.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $2,250,000.00 / $2,478,000.00	Professional		$151.33	$2,250,000.00	$2,478,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $656.85 / $761.17 / $962.78	Facility		$656.85	$761.17	$962.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $176.56 / $219.04 / $279.51	Professional		$176.56	$219.04	$279.51
United Facility/Professional Professional Modifier Low / Median / High Price $234.65 / $275.73 / $839.14	Professional		$234.65	$275.73	$839.14