Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.94 / $82.94 / $82.94	Facility		$82.94	$82.94	$82.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $150.00 / $216.85	Professional		$116.81	$150.00	$216.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.22 / $127.22 / $127.22	Facility		$127.22	$127.22	$127.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.20 / $269.77 / $322.05	Professional		$219.20	$269.77	$322.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.42 / $216.85 / $310.10	Facility		$123.42	$216.85	$310.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.21 / $82.97 / $91.72	Facility		$62.21	$82.97	$91.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.02 / $216.85 / $466.23	Facility		$122.02	$216.85	$466.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $214.23 / $2,400,000.00	Professional		$88.53	$214.23	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $423.96 / $843.15 / $1,175.01	Facility		$423.96	$843.15	$1,175.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.36 / $246.32 / $337.78	Professional		$174.36	$246.32	$337.78
United Facility/Professional Professional Modifier Low / Median / High Price $213.07 / $311.24 / $446.22	Professional		$213.07	$311.24	$446.22