Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $194.98	Professional		$85.11	$112.20	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $134.90	Professional		$97.72	$114.82	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $426.58	Professional		$114.82	$147.91	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $85.11 / $173.78	Facility		$12.02	$85.11	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $169.82	Professional		$147.91	$162.18	$169.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $165.96 / $208.93	Facility		$158.49	$165.96	$208.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $199.53	Professional		$158.49	$158.49	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $128.82 / $2,691,534.80	Facility		$85.11	$128.82	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $190.55	Professional		$87.10	$97.72	$190.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $562.34	Facility		$162.18	$239.88	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $89.13 / $117.49	Facility		$11.75	$89.13	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $158.49	Professional		$83.18	$85.11	$158.49