Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $61.66 / $79.43	Professional		$24.55	$61.66	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $691.83	Facility		$52.48	$52.48	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $79.43	Professional		$61.66	$67.61	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $380.19 / $380.19	Facility		$72.44	$380.19	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $691.83 / $1,659,586.91	Facility		$52.48	$691.83	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $630.96	Facility		$389.05	$501.19	$630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $199.53	Professional		$125.89	$181.97	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $676.08 / $5,128.61	Facility		$186.21	$676.08	$5,128.61