Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $194.98	Professional		$85.11	$109.65	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $128.82	Professional		$51.29	$70.79	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $354.81 / $457.09	Professional		$117.49	$354.81	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $120.23 / $162.18	Facility		$12.59	$120.23	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $173.78	Professional		$147.91	$158.49	$173.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $190.55	Facility		$165.96	$165.96	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $2,691,534.80	Facility		$70.79	$120.23	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $165.96	Professional		$51.29	$60.26	$165.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $562.34	Facility		$165.96	$239.88	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $93.33 / $123.03	Facility		$12.30	$93.33	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $158.49	Professional		$79.43	$81.28	$158.49