Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.87 / $131.87 / $1,291.78	Facility		$131.87	$131.87	$1,291.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.87 / $536.09 / $536.09	Professional		$131.87	$536.09	$536.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,141.08 / $1,141.08 / $1,141.08	Facility		$1,141.08	$1,141.08	$1,141.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $618.98	Professional		$570.54	$570.54	$618.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $318.88 / $382.14	Professional		$143.19	$318.88	$382.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.81 / $237.11 / $710.48	Facility		$165.81	$237.11	$710.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $207.05 / $17,728.12	Professional		$207.05	$207.05	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.95 / $296.62 / $300.83	Facility		$246.95	$296.62	$300.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.81 / $356.49 / $2,400,000.00	Facility		$165.81	$356.49	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $818.83	Professional		$570.54	$570.54	$818.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $275.52 / $462.99 / $621.26	Facility		$275.52	$462.99	$621.26
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $645.89	Professional		$645.89	$645.89	$645.89