Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.03 / $152.03 / $727.56	Facility		$152.03	$152.03	$727.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $240.00 / $326.20	Professional		$190.44	$240.00	$326.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $212.14 / $212.14	Facility		$212.14	$212.14	$212.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.90 / $441.72 / $518.73	Professional		$358.90	$441.72	$518.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.86 / $326.20 / $466.48	Facility		$205.86	$326.20	$466.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.70 / $153.85 / $171.61	Facility		$107.70	$153.85	$171.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.01 / $326.20 / $701.35	Facility		$193.01	$326.20	$701.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $364.16 / $2,400,000.00	Professional		$146.27	$364.16	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $496.95 / $618.64	Facility		$389.95	$496.95	$618.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $308.11 / $412.73 / $558.07	Professional		$308.11	$412.73	$558.07
United Facility/Professional Professional Modifier Low / Median / High Price $295.69 / $430.33 / $560.80	Professional		$295.69	$430.33	$560.80