Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $263.98 / $733.90	Facility		$84.95	$263.98	$733.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $180.00 / $250.50	Professional		$116.14	$180.00	$250.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.96 / $112.96 / $112.96	Facility		$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $226.37 / $265.86	Professional		$183.93	$226.37	$265.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $250.50 / $358.22	Facility		$117.31	$250.50	$358.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $88.72 / $93.73	Facility		$59.40	$88.72	$93.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $250.50 / $538.58	Facility		$113.46	$250.50	$538.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $190.53 / $2,400,000.00	Professional		$78.91	$190.53	$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 $164.07 / $224.98 / $339.82	Professional		$164.07	$224.98	$339.82
United Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $343.76 / $513.99	Professional		$201.63	$343.76	$513.99