Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.82 / $338.47 / $680.55	Facility		$112.82	$338.47	$680.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.94 / $108.80	Professional		$20.89	$29.94	$108.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $3.28 / $80.13	Facility		$2.02	$3.28	$80.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $36.76 / $73.43	Professional		$1.25	$36.76	$73.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $74.15 / $80.01	Professional		$29.98	$74.15	$80.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $47.18 / $99.01	Facility		$20.66	$47.18	$99.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $32.70	Professional		$16.80	$16.80	$32.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $62.10 / $246.44	Facility		$18.39	$62.10	$246.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $23.93 / $99.01	Facility		$15.33	$23.93	$99.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $64.48 / $2,400,000.00	Professional		$14.40	$64.48	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $726.04 / $1,049.47 / $1,345.60	Facility		$726.04	$1,049.47	$1,345.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $53.68 / $102.56	Professional		$26.04	$53.68	$102.56
United Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $18.95 / $54.13	Professional		$13.13	$18.95	$54.13