Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.87 / $320.87 / $320.87	Facility		$320.87	$320.87	$320.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $97.09 / $135.88	Professional		$68.40	$97.09	$135.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $8.86 / $215.88	Facility		$5.48	$8.86	$215.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $128.71 / $173.23	Professional		$59.83	$128.71	$173.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $183.03 / $215.33	Professional		$154.66	$183.03	$215.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $143.58 / $280.54	Facility		$84.24	$143.58	$280.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $147.00 / $162.40	Professional		$147.00	$147.00	$162.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.15 / $167.14 / $413.00	Facility		$139.15	$167.14	$413.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.97 / $139.59 / $280.54	Facility		$77.97	$139.59	$280.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $160.52 / $2,400,000.00	Professional		$90.27	$160.52	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $639.41 / $956.74 / $1,191.76	Facility		$639.41	$956.74	$1,191.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $201.69 / $250.22 / $319.31	Professional		$201.69	$250.22	$319.31
United Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $51.08 / $133.78	Professional		$34.45	$51.08	$133.78