Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.65 / $184.57 / $205.12	Facility		$50.65	$184.57	$205.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $98.15 / $132.18	Professional		$70.97	$98.15	$132.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.32 / $164.32 / $164.32	Facility		$164.32	$164.32	$164.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $183.25 / $219.58	Professional		$82.29	$183.25	$219.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.68 / $140.37 / $211.04	Facility		$96.68	$140.37	$211.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $107.98 / $18,772.80	Professional		$98.16	$107.98	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $93.51 / $173.29	Facility		$78.77	$93.51	$173.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $140.37 / $600,000.00	Facility		$80.70	$140.37	$600,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $96.58 / $115.75	Professional		$80.70	$96.58	$115.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.68 / $103.08 / $184.57	Facility		$40.68	$103.08	$184.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $79.09 / $79.09	Professional		$79.09	$79.09	$79.09
United Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $117.79 / $117.79	Professional		$103.33	$117.79	$117.79