Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $25.42 / $43.47	Professional		$20.23	$25.42	$43.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $58.37 / $62.98	Professional		$23.60	$58.37	$62.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $60.59 / $60.59	Facility		$60.59	$60.59	$60.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13,910.16 / $18,772.80	Professional		$5.00	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $48.24 / $48.24	Facility		$39.60	$48.24	$48.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $60.59 / $60.59	Facility		$60.59	$60.59	$60.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $43.47 / $2,250,000.00	Professional		$2.25	$43.47	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $32.94 / $59.08	Professional		$21.44	$32.94	$59.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.16 / $29.02	Professional		$10.08	$10.16	$29.02