Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $426.58	Professional		$190.55	$229.09	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $302.00	Professional		$229.09	$269.15	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $1,071.52	Professional		$275.42	$354.81	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $281.84 / $389.05	Facility		$33.11	$281.84	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $407.38	Professional		$295.12	$354.81	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $389.05 / $407.38	Facility		$380.19	$389.05	$407.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $2,691,534.80	Facility		$199.53	$281.84	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $229.09 / $426.58	Professional		$87.10	$229.09	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $537.03 / $1,258.93	Facility		$371.54	$537.03	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $218.78 / $295.12	Facility		$29.51	$218.78	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $190.55 / $371.54	Professional		$186.21	$190.55	$371.54