Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $552.00 / $552.00	Facility		$46.99	$552.00	$552.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $59.09 / $229.08	Professional		$43.60	$59.09	$229.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $57.66 / $115.32	Facility		$57.66	$57.66	$115.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $65.28	Professional		$57.66	$57.66	$65.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.81 / $119.90 / $148.22	Professional		$97.81	$119.90	$148.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $82.73 / $276.00	Facility		$57.66	$82.73	$276.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $64.44 / $69.70	Professional		$64.30	$64.44	$69.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $105.70 / $107.20	Facility		$88.00	$105.70	$107.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.94 / $84.86 / $303.60	Facility		$58.94	$84.86	$303.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $2,250,000.00 / $2,400,000.00	Professional		$57.66	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.59 / $185.28 / $221.85	Facility		$120.59	$185.28	$221.85
United Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $276.00 / $317.39	Professional		$276.00	$276.00	$317.39