Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.92 / $86.92 / $1,320.60	Facility		$86.92	$86.92	$1,320.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $21.84 / $33.82	Professional		$18.07	$21.84	$33.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $2.39 / $58.47	Facility		$1.48	$2.39	$58.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $26.85 / $53.46	Professional		$0.91	$26.85	$53.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $53.64 / $57.87	Professional		$21.69	$53.64	$57.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $37.20 / $72.70	Facility		$14.58	$37.20	$72.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $25.52	Professional		$23.10	$23.10	$25.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $44.92 / $258.00	Facility		$25.30	$44.92	$258.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $15.14 / $72.70	Facility		$13.14	$15.14	$72.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $46.78 / $2,400,000.00	Professional		$10.47	$46.78	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.47 / $510.59 / $639.41	Facility		$404.47	$510.59	$639.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $39.04 / $74.67	Professional		$18.98	$39.04	$74.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $13.79 / $39.40	Professional		$9.27	$13.79	$39.40