Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $230.22 / $684.00	Facility		$73.16	$230.22	$684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $19.53 / $53.87	Professional		$16.03	$19.53	$53.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $2.15 / $51.87	Facility		$1.33	$2.15	$51.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $23.95 / $47.58	Professional		$0.82	$23.95	$47.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $48.13 / $51.91	Professional		$19.46	$48.13	$51.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $39.93 / $209.00	Facility		$13.28	$39.93	$209.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $38.61 / $38.61	Professional		$38.61	$38.61	$38.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $40.29 / $159.47	Facility		$25.30	$40.29	$159.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.58 / $64.20	Facility		$13.28	$13.58	$64.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $41.85 / $2,400,000.00	Professional		$9.33	$41.85	$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 $16.85 / $34.77 / $66.45	Professional		$16.85	$34.77	$66.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $12.28 / $35.08	Professional		$8.44	$12.28	$35.08