Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.65 / $384.65 / $384.65	Facility		$384.65	$384.65	$384.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $149.66 / $149.66	Professional		$80.43	$149.66	$149.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $10.65 / $259.25	Facility		$6.58	$10.65	$259.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $119.36 / $237.33	Professional		$4.04	$119.36	$237.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $239.80 / $258.72	Professional		$96.96	$239.80	$258.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $164.64 / $321.79	Facility		$69.84	$164.64	$321.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $87.15 / $96.28	Professional		$87.15	$87.15	$96.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.30 / $200.83 / $797.37	Facility		$91.30	$200.83	$797.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.76 / $70.48 / $321.79	Facility		$54.76	$70.48	$321.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $208.54 / $2,250,000.00	Professional		$46.80	$208.54	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,770.64 / $2,514.34 / $3,218.99	Facility		$1,770.64	$2,514.34	$3,218.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $174.46 / $331.48	Professional		$84.54	$174.46	$331.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,483.17 / $2,483.17 / $3,068.12	Facility		$2,483.17	$2,483.17	$3,068.12
United Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $61.24 / $174.96	Professional		$42.56	$61.24	$174.96