Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $67.61	Professional		$30.20	$37.15	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $48.98	Professional		$34.67	$40.74	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $173.78	Professional		$44.67	$57.54	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $38.90 / $61.66	Facility		$5.25	$38.90	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $64.57	Professional		$46.77	$56.23	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $66.07	Facility		$61.66	$61.66	$66.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $63.10	Professional		$54.95	$61.66	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $52.48 / $2,691,534.80	Facility		$30.90	$52.48	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $87.10	Professional		$34.67	$40.74	$87.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $87.10 / $199.53	Facility		$60.26	$87.10	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $35.48 / $46.77	Facility		$4.68	$35.48	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $58.88	Professional		$29.51	$30.90	$58.88