Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.76 / $269.76 / $486.00	Facility		$76.76	$269.76	$486.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $26.07 / $39.94	Professional		$21.56	$26.07	$39.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $2.84 / $68.84	Facility		$1.75	$2.84	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $31.80 / $63.45	Professional		$1.08	$31.80	$63.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $63.88 / $68.94	Professional		$25.83	$63.88	$68.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $16.97 / $85.87	Facility		$8.86	$16.97	$85.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $25.52	Professional		$23.10	$23.10	$25.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $53.51 / $213.32	Facility		$25.30	$53.51	$213.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $16.97 / $85.87	Facility		$5.26	$16.97	$85.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $55.57 / $2,250,000.00	Professional		$12.44	$55.57	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.47 / $510.59 / $639.41	Facility		$404.47	$510.59	$639.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $46.36 / $88.61	Professional		$22.67	$46.36	$88.61
United Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $16.37 / $46.78	Professional		$10.58	$16.37	$46.78