Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $562.34	Professional		$251.19	$302.00	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $354.81	Professional		$263.03	$309.03	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $1,148.15	Professional		$354.81	$457.09	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $309.03 / $489.78	Facility		$38.02	$309.03	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $524.81	Professional		$371.54	$407.38	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $501.19	Facility		$489.78	$489.78	$501.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $501.19 / $501.19	Professional		$489.78	$501.19	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $2,691,534.80	Facility		$251.19	$354.81	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $263.03 / $549.54	Professional		$87.10	$263.03	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $1,621.81	Facility		$489.78	$707.95	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $251.19 / $331.13	Facility		$33.11	$251.19	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $407.38	Professional		$199.53	$213.80	$407.38