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 $58.22 / $82.74 / $115.53	Professional		$58.22	$82.74	$115.53
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 $50.88 / $109.31 / $147.01	Professional		$50.88	$109.31	$147.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.43 / $157.11 / $182.99	Professional		$131.43	$157.11	$182.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.51 / $131.44 / $238.21	Facility		$74.51	$131.44	$238.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $152.25 / $168.20	Professional		$137.63	$152.25	$168.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.25 / $142.03 / $191.62	Facility		$118.25	$142.03	$191.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $157.30 / $157.30 / $157.30	Professional		$157.30	$157.30	$157.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $127.37 / $238.21	Facility		$68.56	$127.37	$238.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $142.25 / $2,400,000.00	Professional		$77.23	$142.25	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.64 / $121.58 / $151.21	Facility		$92.64	$121.58	$151.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $212.36 / $270.99	Professional		$171.17	$212.36	$270.99
United Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $43.35 / $113.54	Professional		$29.34	$43.35	$113.54