Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $112.20	Professional		$46.77	$57.54	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $72.44	Professional		$51.29	$60.26	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $229.09	Professional		$63.10	$81.28	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $66.07 / $114.82	Facility		$6.61	$66.07	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $109.65	Professional		$85.11	$91.20	$109.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $95.50 / $123.03	Facility		$87.10	$95.50	$123.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $112.20	Professional		$83.18	$87.10	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $104.71 / $2,691,534.80	Facility		$47.86	$104.71	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $109.65	Professional		$51.29	$60.26	$109.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $134.90 / $309.03	Facility		$89.13	$134.90	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $48.98 / $66.07	Facility		$6.61	$48.98	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $89.13	Professional		$44.67	$53.70	$89.13