Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $63.81 / $63.81	Facility		$63.81	$63.81	$63.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $19.42 / $27.02	Professional		$13.68	$19.42	$27.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.78 / $43.37	Facility		$1.10	$1.78	$43.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $25.59 / $34.44	Professional		$11.93	$25.59	$34.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $37.28 / $47.25	Professional		$31.19	$37.28	$47.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $28.47 / $55.61	Facility		$16.27	$28.47	$55.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $32.29	Professional		$19.95	$19.95	$32.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $33.69 / $132.56	Facility		$21.85	$33.69	$132.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $28.05 / $28.05	Professional		$28.05	$28.05	$28.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $27.31 / $55.61	Facility		$14.96	$27.31	$55.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.29 / $2,400,000.00	Professional		$18.20	$32.29	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $639.41 / $956.74 / $1,191.76	Facility		$639.41	$956.74	$1,191.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $49.75 / $63.48	Professional		$40.10	$49.75	$63.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.16 / $26.60	Professional		$6.92	$10.16	$26.60