Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $127.61 / $153.75	Professional		$123.00	$127.61	$153.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.12 / $121.12 / $130.69	Facility		$121.12	$121.12	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.65 / $143.57 / $170.00	Professional		$116.65	$143.57	$170.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.23 / $140.37 / $193.41	Facility		$124.23	$140.37	$193.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $115.24 / $115.24	Facility		$94.60	$115.24	$115.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $132.22 / $274.36	Facility		$74.23	$132.22	$274.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $80.16 / $2,250,000.00	Professional		$74.23	$80.16	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.14 / $143.43 / $183.32	Professional		$93.14	$143.43	$183.32
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $147.35	Professional		$128.13	$128.13	$147.35