Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $100.00	Professional		$56.23	$72.44	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $208.93	Professional		$117.49	$173.78	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $173.78	Professional		$141.25	$165.96	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $104.71 / $213.80	Facility		$29.51	$104.71	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $323.59	Professional		$61.66	$85.11	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $138.04	Facility		$97.72	$134.90	$138.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $104.71 / $1,445.44	Facility		$29.51	$104.71	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $2,398,832.92	Professional		$112.20	$173.78	$2,398,832.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,089.30	Facility		$1,318.26	$1,621.81	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $177.83	Professional		$131.83	$151.36	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,691.53	Facility		$1,659.59	$2,041.74	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $263.03	Professional		$77.62	$112.20	$263.03