Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $323.59	Professional		$131.83	$177.83	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $199.53	Professional		$138.04	$162.18	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $602.56	Professional		$173.78	$223.87	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $208.93 / $338.84	Facility		$27.54	$208.93	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $309.03	Professional		$234.42	$257.04	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $251.19 / $338.84	Facility		$239.88	$251.19	$338.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $309.03	Professional		$239.88	$251.19	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $288.40 / $2,691,534.80	Facility		$131.83	$288.40	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $302.00	Professional		$87.10	$138.04	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $870.96	Facility		$245.47	$371.54	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $128.82 / $169.82	Facility		$16.98	$128.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $245.47	Professional		$125.89	$158.49	$245.47