Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.89 / $292.89 / $292.89	Facility		$292.89	$292.89	$292.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.80 / $292.89 / $1,168.31	Professional		$155.80	$292.89	$1,168.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $238.10 / $238.10	Professional		$238.10	$238.10	$238.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.17 / $632.79 / $758.30	Professional		$284.17	$632.79	$758.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.67 / $437.85 / $658.31	Facility		$259.67	$437.85	$658.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.06 / $236.06 / $236.06	Professional		$236.06	$236.06	$236.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $476.30 / $542.04 / $580.22	Facility		$476.30	$542.04	$580.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.67 / $437.85 / $2,400,000.00	Facility		$259.67	$437.85	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $350.48 / $861.17	Professional		$212.45	$350.48	$861.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.89 / $877.54 / $1,154.98	Facility		$398.89	$877.54	$1,154.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $748.88 / $748.88 / $748.88	Professional		$748.88	$748.88	$748.88
United Facility/Professional Professional Modifier Low / Median / High Price $305.37 / $422.53 / $754.98	Professional		$305.37	$422.53	$754.98