Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $106.03 / $106.03	Facility		$106.03	$106.03	$106.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $96.41 / $121.82	Professional		$63.59	$96.41	$121.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $41.25 / $56.50	Professional		$41.25	$41.25	$56.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.73 / $285.41 / $339.94	Professional		$252.73	$285.41	$339.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $123.40 / $292.41	Facility		$91.00	$123.40	$292.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $253.51 / $253.51 / $253.51	Professional		$253.51	$253.51	$253.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.03 / $219.62 / $241.87	Facility		$196.03	$219.62	$241.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $196.03 / $196.03 / $196.03	Professional		$196.03	$196.03	$196.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $106.05 / $315.39	Facility		$59.84	$106.05	$315.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $248.30 / $2,400,000.00	Professional		$41.25	$248.30	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $221.52 / $272.07 / $471.78	Facility		$221.52	$272.07	$471.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.76 / $280.95 / $365.21	Professional		$251.76	$280.95	$365.21
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $78.17 / $130.28	Professional		$75.00	$78.17	$130.28