Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.40 / $240.40 / $240.40	Facility		$240.40	$240.40	$240.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $73.03 / $101.82	Professional		$51.23	$73.03	$101.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $6.64 / $162.16	Facility		$4.09	$6.64	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $96.44 / $130.05	Professional		$44.92	$96.44	$130.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $138.84 / $170.00	Professional		$116.15	$138.84	$170.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.77 / $113.76 / $210.82	Facility		$65.77	$113.76	$210.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.49 / $147.00 / $162.40	Professional		$121.49	$147.00	$162.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.50 / $125.52 / $413.00	Facility		$104.50	$125.52	$413.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $110.95 / $210.82	Facility		$58.54	$110.95	$210.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $121.49 / $2,400,000.00	Professional		$67.79	$121.49	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $654.51 / $986.27 / $1,191.76	Facility		$654.51	$986.27	$1,191.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $187.85 / $239.72	Professional		$151.41	$187.85	$239.72
United Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $38.35 / $100.44	Professional		$25.88	$38.35	$100.44