Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $160.08 / $255.42	Professional		$160.08	$160.08	$255.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $172.39 / $172.39	Professional		$172.39	$172.39	$172.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.96 / $559.96 / $607.34	Professional		$559.96	$559.96	$607.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.48 / $255.42 / $18,393.63	Facility		$168.48	$255.42	$18,393.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.85 / $420.09 / $420.09	Facility		$344.85	$420.09	$420.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.67 / $255.42 / $349.93	Facility		$221.67	$255.42	$349.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $547.82 / $2,400,000.00	Professional		$172.39	$547.82	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $333.56 / $351.12 / $560.44	Professional		$333.56	$351.12	$560.44
United Facility/Professional Professional Modifier Low / Median / High Price $217.62 / $406.48 / $623.26	Professional		$217.62	$406.48	$623.26