Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.44 / $80.44 / $89.70	Facility		$80.44	$80.44	$89.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $24.48 / $34.07	Professional		$17.17	$24.48	$34.07
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 $19.39 / $32.86 / $69.72	Facility		$19.39	$32.86	$69.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $44.08	Professional		$39.90	$39.90	$44.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $41.62 / $148.00	Facility		$34.65	$41.62	$148.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $32.76 / $69.72	Facility		$16.77	$32.76	$69.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $38.72 / $2,400,000.00	Professional		$22.48	$38.72	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.64 / $121.58 / $228.98	Facility		$92.64	$121.58	$228.98
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 $8.58 / $12.73 / $33.35	Professional		$8.58	$12.73	$33.35