Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.24 / $119.24 / $119.24	Facility		$119.24	$119.24	$119.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $93.91 / $119.24	Professional		$93.91	$93.91	$119.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $98.45	Facility		$98.45	$98.45	$98.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $98.45 / $98.45	Professional		$83.68	$98.45	$98.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.22 / $382.31	Professional		$112.20	$128.22	$382.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.91 / $128.66 / $172.17	Facility		$93.91	$128.66	$172.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.25 / $156.52 / $192.34	Professional		$144.25	$156.52	$192.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.25 / $160.28 / $192.34	Facility		$144.25	$160.28	$192.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $144.25 / $160.28 / $176.31	Professional		$144.25	$160.28	$176.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.91 / $99.78 / $160.28	Facility		$93.91	$99.78	$160.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $156.52 / $2,250,000.00	Professional		$98.45	$156.52	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.91 / $165.91 / $165.91	Facility		$165.91	$165.91	$165.91
United Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $94.78 / $126.39	Facility		$12.64	$94.78	$126.39
United Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $79.81 / $133.04	Professional		$79.81	$79.81	$133.04