Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $186.21	Professional		$79.43	$100.00	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $128.82	Professional		$95.50	$112.20	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $436.52	Professional		$112.20	$144.54	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $109.65 / $177.83	Facility		$14.45	$109.65	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $169.82	Professional		$134.90	$151.36	$169.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $165.96 / $190.55	Facility		$158.49	$165.96	$190.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $181.97	Professional		$158.49	$158.49	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $151.36 / $2,691,534.80	Facility		$81.28	$151.36	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $177.83	Professional		$87.10	$95.50	$177.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $229.09 / $524.81	Facility		$162.18	$229.09	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $89.13 / $120.23	Facility		$12.02	$89.13	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $154.88	Professional		$79.43	$83.18	$154.88