Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $501.19	Professional		$213.80	$288.40	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $331.13	Professional		$234.42	$275.42	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $1,096.48	Professional		$288.40	$371.54	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $323.59 / $524.81	Facility		$42.66	$323.59	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $478.63	Professional		$389.05	$407.38	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $537.03	Facility		$407.38	$416.87	$537.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $501.19	Professional		$407.38	$416.87	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $457.09 / $2,691,534.80	Facility		$218.78	$457.09	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $234.42 / $489.78	Professional		$87.10	$234.42	$489.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $616.60 / $1,412.54	Facility		$407.38	$616.60	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $229.09 / $309.03	Facility		$30.90	$229.09	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $416.87	Professional		$213.80	$245.47	$416.87