Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $200.86 / $242.00	Professional		$193.60	$200.86	$242.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $411.40 / $411.40	Facility		$205.70	$411.40	$411.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.59 / $192.26 / $230.65	Professional		$159.59	$192.26	$230.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.86 / $242.00 / $304.42	Facility		$200.86	$242.00	$304.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $164.49 / $166.83	Facility		$136.94	$164.49	$166.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.86 / $242.00 / $431.85	Facility		$200.86	$242.00	$431.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $275.00 / $2,250,000.00	Professional		$205.70	$275.00	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $201.47 / $261.20	Professional		$134.83	$201.47	$261.20
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $253.00	Professional		$220.00	$220.00	$253.00