Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $363.08	Professional		$165.96	$213.80	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $245.47	Professional		$173.78	$204.17	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $812.83	Professional		$223.87	$288.40	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $245.47 / $407.38	Facility		$33.11	$245.47	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $363.08	Professional		$302.00	$316.23	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $309.03 / $407.38	Facility		$302.00	$309.03	$407.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $309.03 / $380.19	Professional		$302.00	$309.03	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $346.74 / $2,691,534.80	Facility		$165.96	$346.74	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $363.08	Professional		$87.10	$173.78	$363.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $467.74 / $1,096.48	Facility		$295.12	$467.74	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $165.96 / $218.78	Facility		$21.88	$165.96	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $302.00	Professional		$158.49	$190.55	$302.00