Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.92 / $86.92 / $86.92	Facility		$86.92	$86.92	$86.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $26.17 / $36.81	Professional		$18.34	$26.17	$36.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $2.39 / $58.47	Facility		$1.48	$2.39	$58.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $34.78 / $46.78	Professional		$16.14	$34.78	$46.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $49.69 / $62.99	Professional		$41.57	$49.69	$62.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.95 / $37.96 / $75.65	Facility		$17.95	$37.96	$75.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $51.45 / $56.84	Professional		$43.54	$51.45	$56.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $44.92 / $180.20	Facility		$37.40	$44.92	$180.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $37.20 / $75.65	Facility		$14.37	$37.20	$75.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $43.54 / $2,400,000.00	Professional		$24.26	$43.54	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.21 / $1,114.55 / $1,491.57	Facility		$151.21	$1,114.55	$1,491.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $67.56 / $86.22	Professional		$54.46	$67.56	$86.22
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.79 / $37.01	Professional		$9.33	$13.79	$37.01