Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Facility		$127.55	$127.55	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $157.13	Professional		$145.49	$145.49	$157.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.25 / $165.51 / $271.86	Facility		$137.25	$165.51	$271.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $171.56	Professional		$145.49	$145.49	$171.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.66 / $295.51 / $335.33	Professional		$213.66	$295.51	$335.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $145.49 / $311.35	Facility		$127.55	$145.49	$311.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $154.22 / $189.14	Professional		$145.49	$154.22	$189.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $145.49 / $301.95	Facility		$108.67	$145.49	$301.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $146.19 / $312.80	Facility		$145.49	$146.19	$312.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $176.86 / $2,400,000.00	Professional		$145.49	$176.86	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $145.49 / $145.49	Professional		$138.22	$145.49	$145.49
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $167.31	Professional		$145.49	$145.49	$167.31