Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $54.56 / $54.56	Facility		$54.56	$54.56	$54.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $16.46 / $23.11	Professional		$11.64	$16.46	$23.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1.50 / $36.76	Facility		$0.93	$1.50	$36.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $21.78 / $29.30	Professional		$9.88	$21.78	$29.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $31.42 / $39.83	Professional		$26.28	$31.42	$39.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $22.02 / $48.14	Facility		$13.34	$22.02	$48.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $27.39	Professional		$21.00	$21.00	$27.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $28.41 / $113.92	Facility		$23.00	$28.41	$113.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $21.23 / $48.14	Facility		$11.25	$21.23	$48.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $27.14 / $2,400,000.00	Professional		$15.34	$27.14	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.47 / $574.32 / $722.08	Facility		$404.47	$574.32	$722.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $42.32 / $54.01	Professional		$34.11	$42.32	$54.01
United Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $8.64 / $24.68	Professional		$5.87	$8.64	$24.68