Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.27 / $164.27 / $164.27	Facility		$164.27	$164.27	$164.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $81.23 / $112.24	Professional		$50.85	$81.23	$112.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.59 / $182.20 / $213.98	Professional		$152.59	$182.20	$213.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.60 / $117.85 / $241.32	Facility		$62.60	$117.85	$241.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $13,910.16 / $18,772.80	Professional		$162.22	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.19 / $193.72 / $197.98	Facility		$133.19	$193.72	$197.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.60 / $112.24 / $241.32	Facility		$62.60	$112.24	$241.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $204.18 / $2,400,000.00	Professional		$63.51	$204.18	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $164.40 / $218.87	Professional		$125.09	$164.40	$218.87
United Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $358.92 / $602.29	Professional		$161.94	$358.92	$602.29