Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Facility		$144.00	$144.00	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $158.12	Professional		$125.50	$125.50	$158.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.89 / $275.89 / $275.89	Facility		$275.89	$275.89	$275.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $182.53 / $218.72	Professional		$81.97	$182.53	$218.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $179.47 / $269.83	Facility		$125.50	$179.47	$269.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $107.95 / $17,728.12	Professional		$107.95	$107.95	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.64 / $169.78 / $172.19	Facility		$127.64	$169.78	$172.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $179.47 / $600,000.00	Facility		$125.50	$179.47	$600,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.93 / $137.94 / $219.81	Professional		$105.93	$137.94	$219.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $518.61 / $518.61 / $518.61	Facility		$518.61	$518.61	$518.61
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $177.18 / $177.18	Professional		$147.65	$177.18	$177.18