Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.54 / $203.54 / $203.54	Facility		$203.54	$203.54	$203.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $203.54 / $4,815.52	Professional		$132.46	$203.54	$4,815.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.13 / $547.90 / $652.54	Professional		$485.13	$547.90	$652.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.64 / $281.69 / $561.92	Facility		$187.64	$281.69	$561.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $418.07 / $422.54 / $443.67	Professional		$418.07	$422.54	$443.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $381.15 / $457.81 / $464.31	Facility		$381.15	$457.81	$464.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.64 / $313.93 / $561.92	Facility		$187.64	$313.93	$561.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $482.61 / $2,400,000.00	Professional		$410.22	$482.61	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $425.25 / $522.30 / $905.63	Facility		$425.25	$522.30	$905.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $483.30 / $539.33 / $701.09	Professional		$483.30	$539.33	$701.09
United Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $150.06 / $358.66	Professional		$140.90	$150.06	$358.66