Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $28.44	Professional		$24.95	$24.95	$28.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $55.36 / $55.36	Facility		$55.36	$55.36	$55.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Professional		$27.68	$27.68	$27.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $48.30 / $57.87	Professional		$21.69	$48.30	$57.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $35.68 / $53.64	Facility		$24.95	$35.68	$53.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $17,150.38 / $18,772.80	Professional		$38.61	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $44.92 / $69.59	Facility		$37.40	$44.92	$69.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $35.68 / $600,000.00	Facility		$24.95	$35.68	$600,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $33.43 / $57.80	Professional		$27.68	$33.43	$57.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.86 / $134.86 / $134.86	Facility		$134.86	$134.86	$134.86
United Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $33.17 / $35.22	Professional		$29.35	$33.17	$35.22