Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.55 / $193.55 / $193.55	Facility		$193.55	$193.55	$193.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.08 / $175.99 / $222.39	Professional		$116.08	$175.99	$222.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $210.68	Facility		$210.68	$210.68	$210.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $210.68	Professional		$153.80	$153.80	$210.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.34 / $521.01 / $620.54	Professional		$461.34	$521.01	$620.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.12 / $225.27 / $533.79	Facility		$166.12	$225.27	$533.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $462.79 / $462.79 / $462.79	Professional		$462.79	$462.79	$462.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $242.66 / $400.91 / $441.53	Facility		$242.66	$400.91	$441.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $242.66 / $242.66	Professional		$242.66	$242.66	$242.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.40 / $210.68 / $575.19	Facility		$118.40	$210.68	$575.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $462.79 / $2,400,000.00	Professional		$153.80	$462.79	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.38 / $496.69 / $861.19	Facility		$404.38	$496.69	$861.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $459.59 / $512.86 / $666.69	Professional		$459.59	$512.86	$666.69
United Facility/Professional Professional Modifier Low / Median / High Price $133.99 / $142.69 / $236.07	Professional		$133.99	$142.69	$236.07