Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $147.72 / $177.97	Professional		$142.38	$147.72	$177.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $302.54 / $302.54	Facility		$151.27	$302.54	$302.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.16 / $214.65 / $257.52	Professional		$178.16	$214.65	$257.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $177.97 / $223.88	Facility		$147.72	$177.97	$223.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.90 / $183.65 / $186.26	Facility		$152.90	$183.65	$186.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $177.97 / $317.60	Facility		$147.72	$177.97	$317.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $202.24 / $2,250,000.00	Professional		$151.27	$202.24	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $228.10 / $291.62	Professional		$215.87	$228.10	$291.62
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $186.06	Professional		$161.79	$161.79	$186.06