Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.25 / $174.25 / $174.25	Facility		$174.25	$174.25	$174.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $174.25 / $688.44	Professional		$91.58	$174.25	$688.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.04 / $376.42 / $451.06	Professional		$169.04	$376.42	$451.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $258.00 / $387.90	Facility		$152.63	$258.00	$387.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $138.75 / $138.75	Professional		$138.75	$138.75	$138.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $283.25 / $322.43 / $345.05	Facility		$283.25	$322.43	$345.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $258.00 / $2,400,000.00	Facility		$152.63	$258.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $206.51 / $512.79	Professional		$124.88	$206.51	$512.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $235.05 / $521.78 / $687.67	Facility		$235.05	$521.78	$687.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $445.28 / $445.28 / $445.28	Professional		$445.28	$445.28	$445.28
United Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $252.81 / $448.98	Professional		$174.86	$252.81	$448.98