Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $211.33	Professional		$182.18	$182.18	$211.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $257.81 / $364.36	Facility		$171.87	$257.81	$364.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $214.84	Professional		$182.18	$182.18	$214.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.31 / $422.28 / $521.51	Professional		$305.31	$422.28	$521.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $550.00	Facility		$182.18	$182.18	$550.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $209.51 / $236.83	Professional		$182.18	$209.51	$236.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $182.18 / $378.93	Facility		$171.87	$182.18	$378.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $222.28 / $550.00	Facility		$182.18	$222.28	$550.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $225.05 / $2,250,000.00	Professional		$182.18	$225.05	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.07 / $182.18 / $182.18	Professional		$173.07	$182.18	$182.18
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $209.51	Professional		$182.18	$182.18	$209.51