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 $20.10 / $187.75 / $258.01	Professional		$20.10	$187.75	$258.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.75 / $553.73 / $614.15	Professional		$463.75	$553.73	$614.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.45 / $258.01 / $480.07	Facility		$118.45	$258.01	$480.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10,001.90 / $14,999.85 / $29,999.70	Professional		$10,001.90	$14,999.85	$29,999.70
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 $118.45 / $258.01 / $534.54	Facility		$118.45	$258.01	$534.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $286.32 / $2,400,000.00	Professional		$182.29	$286.32	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $313.07 / $442.02 / $565.66	Professional		$313.07	$442.02	$565.66
United Facility/Professional Professional Modifier Low / Median / High Price $217.35 / $391.46 / $638.54	Professional		$217.35	$391.46	$638.54