Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $39.81	Professional		$22.91	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $85.11	Professional		$31.62	$56.23	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $75.86	Professional		$52.48	$60.26	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $37.15 / $67.61	Facility		$19.50	$37.15	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $39.81	Professional		$22.91	$28.18	$39.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $52.48 / $56.23	Facility		$36.31	$52.48	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $40.74 / $74.13	Facility		$19.05	$40.74	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $2,238,721.14 / $2,398,832.92	Professional		$48.98	$2,238,721.14	$2,398,832.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $77.62	Professional		$51.29	$60.26	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $158.49	Professional		$47.86	$61.66	$158.49