Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $346.74	Professional		$151.36	$204.17	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $263.03	Professional		$177.83	$245.47	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $660.69 / $831.76	Professional		$223.87	$660.69	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $177.83 / $257.04	Facility		$23.44	$177.83	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $323.59	Professional		$229.09	$295.12	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $338.84	Facility		$309.03	$309.03	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $2,691,534.80	Facility		$162.18	$245.47	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $208.93 / $302.00	Professional		$87.10	$208.93	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $436.52 / $1,000.00	Facility		$309.03	$436.52	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $177.83 / $234.42	Facility		$23.44	$177.83	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $295.12	Professional		$144.54	$151.36	$295.12