Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $89.69 / $89.69	Facility		$89.69	$89.69	$89.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $27.02 / $37.99	Professional		$19.21	$27.02	$37.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $2.47 / $60.34	Facility		$1.53	$2.47	$60.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $35.93 / $48.32	Professional		$16.67	$35.93	$48.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $51.88 / $65.76	Professional		$43.40	$51.88	$65.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $37.99 / $78.20	Facility		$18.88	$37.99	$78.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $44.95	Professional		$25.20	$25.20	$44.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $46.90 / $186.41	Facility		$27.60	$46.90	$186.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $39.04 / $39.04	Professional		$39.04	$39.04	$39.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $36.65 / $78.20	Facility		$18.51	$36.65	$78.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $44.95 / $2,400,000.00	Professional		$25.33	$44.95	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.47 / $537.34 / $639.41	Facility		$404.47	$537.34	$639.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $69.80 / $89.07	Professional		$56.26	$69.80	$89.07
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $14.25 / $37.31	Professional		$9.63	$14.25	$37.31