Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $300.36	Facility		$150.18	$150.18	$300.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $124.65 / $150.18	Professional		$124.65	$124.65	$150.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.86 / $126.86 / $126.86	Facility		$126.86	$126.86	$126.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $68.81	Professional		$63.43	$63.43	$68.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $129.97 / $155.74	Professional		$58.37	$129.97	$155.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.65 / $165.20 / $268.00	Facility		$124.65	$165.20	$268.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $63.38 / $17,728.12	Professional		$59.78	$63.38	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.65 / $165.20 / $2,400,000.00	Facility		$124.65	$165.20	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $127.11	Professional		$63.43	$63.43	$127.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.29 / $188.70 / $253.23	Facility		$112.29	$188.70	$253.23
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Professional		$125.15	$125.15	$125.15