Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.65 / $743.30 / $743.30	Facility		$371.65	$743.30	$743.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $308.47 / $370.16	Professional		$297.32	$308.47	$370.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.44 / $643.44 / $643.44	Facility		$643.44	$643.44	$643.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $364.21	Professional		$321.72	$321.72	$364.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.81 / $286.45 / $363.11	Professional		$237.81	$286.45	$363.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.81 / $319.62 / $662.15	Facility		$173.81	$319.62	$662.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.85 / $169.26 / $267.79	Professional		$162.85	$169.26	$267.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $79,999.20 / $79,999.20	Facility		$33.34	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.81 / $320.08 / $663.21	Facility		$173.81	$320.08	$663.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.77 / $383.61 / $2,400,000.00	Professional		$219.77	$383.61	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $322.66 / $803.42	Facility		$17.61	$322.66	$803.42
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $309.70 / $356.17	Professional		$309.70	$309.70	$356.17