Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.44 / $80.44 / $80.44	Facility		$80.44	$80.44	$80.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $23.58 / $32.86	Professional		$17.17	$23.58	$32.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $2.23 / $53.74	Facility		$1.38	$2.23	$53.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $32.10 / $43.18	Professional		$14.91	$32.10	$43.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $46.04 / $58.36	Professional		$38.51	$46.04	$58.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $37.56 / $69.72	Facility		$21.84	$37.56	$69.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $33.60 / $40.72	Professional		$33.60	$33.60	$40.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $41.62 / $97.00	Facility		$34.65	$41.62	$97.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $36.94 / $69.72	Facility		$20.09	$36.94	$69.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $41.95 / $2,400,000.00	Professional		$22.48	$41.95	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.64 / $121.58 / $151.21	Facility		$92.64	$121.58	$151.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $62.37 / $79.59	Professional		$50.27	$62.37	$79.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $12.73 / $33.35	Professional		$8.90	$12.73	$33.35