Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Facility		$65.41	$65.41	$65.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $161.04	Professional		$65.41	$65.41	$161.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $92.55 / $130.82	Facility		$61.70	$92.55	$130.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $77.13	Professional		$65.40	$65.40	$77.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $159.35 / $187.11	Professional		$128.11	$159.35	$187.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $65.41 / $126.65	Facility		$50.40	$65.41	$126.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $75.22 / $85.03	Professional		$65.41	$75.22	$85.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $65.41 / $135.75	Facility		$44.16	$65.41	$135.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $71.95 / $139.97	Facility		$52.50	$71.95	$139.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $81.76 / $2,250,000.00	Professional		$65.40	$81.76	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $65.41 / $65.41	Professional		$62.14	$65.41	$65.41
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $75.22	Professional		$65.41	$65.41	$75.22