Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.87 / $111.87 / $111.87	Facility		$111.87	$111.87	$111.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $34.19 / $47.39	Professional		$23.87	$34.19	$47.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $3.12 / $75.43	Facility		$1.93	$3.12	$75.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $44.88 / $60.66	Professional		$20.88	$44.88	$60.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $65.03 / $82.43	Professional		$54.42	$65.03	$82.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $47.39 / $97.94	Facility		$23.45	$47.39	$97.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $56.88	Professional		$19.95	$19.95	$56.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $58.80 / $231.96	Facility		$21.85	$58.80	$231.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $64.90 / $64.90	Professional		$64.90	$64.90	$64.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $46.23 / $97.94	Facility		$20.22	$46.23	$97.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $56.05 / $2,400,000.00	Professional		$31.75	$56.05	$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 $70.62 / $87.62 / $111.81	Professional		$70.62	$87.62	$111.81
United Facility/Professional Facility Modifier Low / Median / High Price $520.90 / $520.90 / $643.61	Facility		$520.90	$520.90	$643.61
United Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $17.89 / $46.85	Professional		$12.04	$17.89	$46.85