Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.17 / $149.76 / $187.98	Facility		$96.17	$149.76	$187.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $29.13 / $40.72	Professional		$20.67	$29.13	$40.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $2.67 / $65.08	Facility		$1.65	$2.67	$65.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $38.58 / $51.92	Professional		$17.89	$38.58	$51.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $55.55 / $70.41	Professional		$46.46	$55.55	$70.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.93 / $41.16 / $83.83	Facility		$19.93	$41.16	$83.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $51.45 / $56.84	Professional		$48.46	$51.45	$56.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.80 / $50.21 / $198.84	Facility		$41.80	$50.21	$198.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $40.72 / $83.83	Facility		$15.41	$40.72	$83.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $49.38 / $2,400,000.00	Professional		$27.12	$49.38	$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 $60.45 / $74.98 / $95.70	Professional		$60.45	$74.98	$95.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $15.31 / $40.10	Professional		$10.38	$15.31	$40.10