Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $154.88	Professional		$67.61	$83.18	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $102.33	Professional		$74.13	$89.13	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $338.84	Professional		$93.33	$117.49	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $95.50 / $154.88	Facility		$12.59	$95.50	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $138.04	Professional		$117.49	$125.89	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $134.90 / $158.49	Facility		$128.82	$134.90	$158.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $151.36	Professional		$128.82	$134.90	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $131.83 / $2,691,534.80	Facility		$67.61	$131.83	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $147.91	Professional		$74.13	$79.43	$147.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $436.52	Facility		$131.83	$190.55	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $72.44 / $95.50	Facility		$9.55	$72.44	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $125.89	Professional		$66.07	$72.44	$125.89