Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $99.57 / $99.57	Facility		$99.57	$99.57	$99.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $90.53 / $114.40	Professional		$59.71	$90.53	$114.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $139.08 / $139.08	Facility		$139.08	$139.08	$139.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $139.08	Professional		$101.53	$101.53	$139.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.32 / $268.01 / $319.20	Professional		$237.32	$268.01	$319.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $115.88 / $274.58	Facility		$85.45	$115.88	$274.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.07 / $238.07 / $238.07	Professional		$238.07	$238.07	$238.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.45 / $223.95 / $287.49	Facility		$186.45	$223.95	$287.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $287.49 / $287.49 / $287.49	Professional		$287.49	$287.49	$287.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.91 / $114.40 / $296.31	Facility		$60.91	$114.40	$296.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $282.76 / $2,400,000.00	Professional		$101.53	$282.76	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $255.51 / $443.00	Facility		$208.01	$255.51	$443.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $236.42 / $263.82 / $342.96	Professional		$236.42	$263.82	$342.96
United Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $73.40 / $122.34	Professional		$69.20	$73.40	$122.34