Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $102.70 / $102.70	Professional		$71.56	$102.70	$102.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $167.82 / $223.23	Professional		$108.40	$167.82	$223.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $175.89 / $201.60	Professional		$145.69	$175.89	$201.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.70 / $153.36 / $211.41	Facility		$102.70	$153.36	$211.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.79 / $150.40 / $150.40	Professional		$146.79	$150.40	$150.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.25 / $144.25 / $152.09	Facility		$91.25	$144.25	$152.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.70 / $170.15 / $2,400,000.00	Facility		$102.70	$170.15	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $2,250,000.00 / $2,400,000.00	Professional		$146.49	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,783.54 / $3,817.11 / $4,583.52	Facility		$2,783.54	$3,817.11	$4,583.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $184.47 / $243.00	Professional		$144.36	$184.47	$243.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $9,454.00 / $13,323.00	Facility		$2,364.00	$9,454.00	$13,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $191.09 / $264.73	Professional		$123.46	$191.09	$264.73