Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $144.76	Facility		$61.52	$61.52	$144.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $60.08 / $62.25	Professional		$57.90	$60.08	$62.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.04 / $123.04 / $123.04	Facility		$123.04	$123.04	$123.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $61.52	Professional		$61.52	$61.52	$61.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $128.13 / $158.40	Professional		$109.60	$128.13	$158.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $84.11 / $129.16	Facility		$60.08	$84.11	$129.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $56.01 / $59.57	Professional		$55.18	$56.01	$59.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.34 / $79,999.20 / $79,999.20	Facility		$98.34	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $83.36 / $135.72	Facility		$60.08	$83.36	$135.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $73.90 / $2,250,000.00	Professional		$61.52	$73.90	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $60.31 / $60.31	Professional		$60.31	$60.31	$60.31
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $72.38	Professional		$60.32	$60.32	$72.38