Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $194.83 / $194.83	Facility		$194.83	$194.83	$194.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $598.25	Professional		$553.94	$553.94	$598.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.04 / $495.84 / $522.58	Facility		$361.04	$495.84	$522.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $653.23	Professional		$553.94	$553.94	$653.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.95 / $474.86 / $730.85	Professional		$373.95	$474.86	$730.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $553.94 / $1,375.00	Facility		$194.83	$553.94	$1,375.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $587.16 / $720.12	Professional		$553.94	$587.16	$720.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $553.92 / $1,046.95	Facility		$194.83	$553.92	$1,046.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.93 / $553.94 / $1,375.00	Facility		$318.93	$553.94	$1,375.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.93 / $653.23 / $2,250,000.00	Professional		$318.93	$653.23	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $526.24 / $553.94 / $553.94	Professional		$526.24	$553.94	$553.94
United Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $637.03	Professional		$553.94	$553.94	$637.03