Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.47 / $85.47 / $85.47	Facility		$85.47	$85.47	$85.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.69 / $123.34 / $232.64	Professional		$112.69	$123.34	$232.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $228.81 / $231.34	Professional		$199.00	$228.81	$231.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.69 / $154.38 / $242.28	Facility		$112.69	$154.38	$242.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.29 / $107.61 / $177.03	Facility		$79.29	$107.61	$177.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.69 / $154.38 / $242.28	Facility		$112.69	$154.38	$242.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $2,400,000.00	Professional		$73.14	$73.14	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.79 / $209.63 / $234.03	Professional		$140.79	$209.63	$234.03
United Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $137.91 / $272.86	Professional		$89.74	$137.91	$272.86