Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $107.15	Professional		$44.67	$57.54	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $69.18	Professional		$48.98	$57.54	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $218.78	Professional		$61.66	$79.43	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $64.57 / $107.15	Facility		$8.71	$64.57	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $95.50	Professional		$79.43	$85.11	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $93.33 / $107.15	Facility		$85.11	$93.33	$107.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $102.33	Professional		$85.11	$93.33	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $91.20 / $2,691,534.80	Facility		$44.67	$91.20	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $100.00	Professional		$48.98	$57.54	$100.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $295.12	Facility		$87.10	$125.89	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $44.67 / $60.26	Facility		$6.03	$44.67	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $81.28	Professional		$42.66	$50.12	$81.28