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 $23.95 / $29.94 / $43.47	Professional		$23.95	$29.94	$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 $10.50 / $13,910.16 / $18,772.80	Professional		$10.50	$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 $9.64 / $43.47 / $2,400,000.00	Professional		$9.64	$43.47	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $39.65 / $59.08	Professional		$21.44	$39.65	$59.08
United Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $10.16 / $24.76	Professional		$9.81	$10.16	$24.76