Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $97.57 / $208.97	Facility		$57.60	$97.57	$208.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $63.32 / $88.51	Professional		$44.54	$63.32	$88.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5.75 / $140.50	Facility		$3.55	$5.75	$140.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $83.70 / $112.57	Professional		$38.95	$83.70	$112.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $119.84 / $151.91	Professional		$100.26	$119.84	$151.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $90.50 / $182.60	Facility		$54.87	$90.50	$182.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $94.50 / $105.34	Professional		$94.50	$94.50	$105.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.20 / $108.34 / $413.00	Facility		$90.20	$108.34	$413.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $120.45 / $120.45	Professional		$120.45	$120.45	$120.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $89.44 / $182.60	Facility		$47.29	$89.44	$182.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $112.50 / $2,400,000.00	Professional		$58.51	$112.50	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.47 / $537.34 / $639.41	Facility		$404.47	$537.34	$639.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.07 / $162.61 / $207.50	Professional		$131.07	$162.61	$207.50
United Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $33.20 / $86.94	Professional		$22.42	$33.20	$86.94