Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.45 / $235.45 / $235.45	Facility		$235.45	$235.45	$235.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $235.45 / $1,038.83	Professional		$142.94	$235.45	$1,038.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $191.36 / $191.36	Professional		$191.36	$191.36	$191.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.36 / $508.52 / $609.38	Professional		$228.36	$508.52	$609.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.25 / $389.35 / $585.38	Facility		$238.25	$389.35	$585.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $216.59 / $216.59	Professional		$216.59	$216.59	$216.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.79 / $435.59 / $466.32	Facility		$279.79	$435.59	$466.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.25 / $389.35 / $2,400,000.00	Facility		$238.25	$389.35	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $311.66 / $692.85	Professional		$191.36	$311.66	$692.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.68 / $705.34 / $928.97	Facility		$354.68	$705.34	$928.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $601.91 / $601.91 / $601.91	Professional		$601.91	$601.91	$601.91
United Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $381.48 / $606.77	Professional		$272.95	$381.48	$606.77