Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.49 / $196.49 / $196.49	Facility		$196.49	$196.49	$196.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $169.98 / $575.67	Professional		$89.16	$169.98	$575.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.76 / $349.76 / $349.76	Facility		$349.76	$349.76	$349.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.98 / $494.73 / $619.70	Professional		$408.98	$494.73	$619.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.78 / $207.64 / $421.06	Facility		$159.78	$207.64	$421.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $67.14 / $67.14	Professional		$67.14	$67.14	$67.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.67 / $406.99 / $426.12	Facility		$255.67	$406.99	$426.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.98 / $207.64 / $421.06	Facility		$169.98	$207.64	$421.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $2,250,000.00 / $2,400,000.00	Professional		$183.96	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.22 / $139.65 / $236.33	Facility		$85.22	$139.65	$236.33
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $247.31	Professional		$215.05	$215.05	$247.31