Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $87.92	Professional		$75.79	$75.79	$87.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $143.00 / $169.01	Facility		$71.50	$143.00	$169.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $89.38	Professional		$75.79	$75.79	$89.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.99 / $202.73 / $341.80	Professional		$162.99	$202.73	$341.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $83.18 / $1,254.00	Facility		$75.79	$83.18	$1,254.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $87.16 / $98.53	Professional		$75.79	$87.16	$98.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $85.80 / $253.52	Facility		$75.79	$85.80	$253.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $103.83 / $1,254.00	Facility		$75.79	$103.83	$1,254.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $163.62 / $2,250,000.00	Professional		$75.79	$163.62	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $75.79 / $75.79	Professional		$72.00	$75.79	$75.79
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $87.16	Professional		$75.79	$75.79	$87.16