Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.39 / $248.39 / $596.14	Facility		$248.39	$248.39	$596.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $247.40 / $291.05	Professional		$238.46	$247.40	$291.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.21 / $253.36 / $496.78	Facility		$241.21	$253.36	$496.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.40 / $292.22 / $531.91	Facility		$247.40	$292.22	$531.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $253.18 / $379.77 / $554.46	Professional		$253.18	$379.77	$554.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $271.12 / $271.12 / $79,999.20	Facility		$271.12	$271.12	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.40 / $298.07 / $531.91	Facility		$247.40	$298.07	$531.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $338.90 / $2,250,000.00	Professional		$253.36	$338.90	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $218.88 / $328.32 / $743.77	Facility		$218.88	$328.32	$743.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.01 / $283.17 / $283.17	Professional		$269.01	$283.17	$283.17
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $285.64	Professional		$248.39	$248.39	$285.64