Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.77 / $272.77 / $272.77	Facility		$272.77	$272.77	$272.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $106.14 / $106.14	Professional		$57.12	$106.14	$106.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $7.53 / $183.82	Facility		$4.65	$7.53	$183.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $84.25 / $168.01	Professional		$2.86	$84.25	$168.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $169.59 / $182.99	Professional		$68.56	$169.59	$182.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.76 / $107.84 / $228.20	Facility		$44.76	$107.84	$228.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $66.00	Professional		$63.00	$63.00	$66.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $142.03 / $413.00	Facility		$61.50	$142.03	$413.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $45.17 / $228.20	Facility		$35.04	$45.17	$228.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $156.37 / $2,400,000.00	Professional		$33.06	$156.37	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.47 / $574.32 / $722.08	Facility		$404.47	$574.32	$722.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $123.22 / $234.66	Professional		$60.03	$123.22	$234.66
United Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $43.35 / $123.86	Professional		$30.19	$43.35	$123.86