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 $245.47 / $338.84 / $602.56	Professional		$245.47	$338.84	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $363.08	Professional		$257.04	$302.00	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $1,122.02	Professional		$316.23	$407.38	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $331.13 / $645.65	Facility		$52.48	$331.13	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $575.44	Professional		$426.58	$467.74	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $457.09 / $645.65	Facility		$436.52	$457.09	$645.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $457.09 / $575.44	Professional		$436.52	$457.09	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $549.54 / $2,691,534.80	Facility		$245.47	$549.54	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $257.04 / $562.34	Professional		$87.10	$257.04	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,584.89	Facility		$446.68	$691.83	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $239.88 / $316.23	Facility		$31.62	$239.88	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $467.74	Professional		$234.42	$302.00	$467.74