Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.42 / $78.42 / $78.42	Facility		$78.42	$78.42	$78.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $71.30 / $90.10	Professional		$47.03	$71.30	$90.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $75.05	Facility		$75.05	$75.05	$75.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $54.79 / $75.05	Professional		$54.79	$54.79	$75.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.92 / $211.09 / $251.43	Professional		$186.92	$211.09	$251.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $91.26 / $216.27	Facility		$67.30	$91.26	$216.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $187.50 / $187.50	Professional		$187.50	$187.50	$187.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.85 / $176.39 / $245.71	Facility		$146.85	$176.39	$245.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.71 / $245.71 / $245.71	Professional		$245.71	$245.71	$245.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $78.43 / $233.23	Facility		$47.97	$78.43	$233.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $226.95 / $2,400,000.00	Professional		$54.79	$226.95	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.84 / $201.23 / $348.93	Facility		$163.84	$201.23	$348.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $207.79 / $270.12	Professional		$186.21	$207.79	$270.12
United Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $57.82 / $96.36	Professional		$55.53	$57.82	$96.36