Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $141.25	Professional		$57.54	$75.86	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $93.33	Professional		$66.07	$77.62	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $295.12	Professional		$81.28	$102.33	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $83.18 / $131.83	Facility		$10.72	$83.18	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $117.49	Professional		$100.00	$107.15	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $117.49 / $134.90	Facility		$112.20	$117.49	$134.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $131.83	Professional		$112.20	$117.49	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $97.72 / $2,691,534.80	Facility		$58.88	$97.72	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $128.82	Professional		$66.07	$77.62	$128.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $380.19	Facility		$114.82	$165.96	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $64.57 / $85.11	Facility		$8.51	$64.57	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $112.20	Professional		$54.95	$57.54	$112.20