Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $68.73 / $139.02	Facility		$68.73	$68.73	$139.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $62.49 / $78.97	Professional		$41.22	$62.49	$78.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $47.13	Facility		$47.13	$47.13	$47.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $47.13	Professional		$34.40	$34.40	$47.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.81 / $185.01 / $220.34	Professional		$163.81	$185.01	$220.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.99 / $79.98 / $189.54	Facility		$58.99	$79.98	$189.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.33 / $17,728.12 / $17,728.12	Professional		$164.33	$17,728.12	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.74 / $142.36 / $156.78	Facility		$127.74	$142.36	$156.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $127.74 / $127.74	Professional		$127.74	$127.74	$127.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $68.73 / $204.18	Facility		$42.04	$68.73	$204.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $164.33 / $2,400,000.00	Professional		$34.40	$164.33	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $143.59 / $176.36 / $305.79	Facility		$143.59	$176.36	$305.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $182.11 / $236.73	Professional		$163.19	$182.11	$236.73
United Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $50.67 / $84.45	Professional		$47.79	$50.67	$84.45