Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $27.50 / $27.50	Facility		$27.50	$27.50	$27.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $27.76	Professional		$16.30	$16.30	$27.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.98 / $27.98 / $27.98	Facility		$27.98	$27.98	$27.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $27.70 / $33.18	Professional		$12.44	$27.70	$33.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $23.31 / $35.04	Facility		$16.30	$23.31	$35.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $13,910.16 / $65,599.34	Professional		$19.41	$13,910.16	$65,599.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $25.76 / $26.13	Facility		$21.45	$25.76	$26.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $27.98 / $3,288,000.00	Facility		$16.30	$27.98	$3,288,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $18.87 / $32.29	Professional		$13.99	$18.87	$32.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $39.19 / $50.96	Facility		$19.03	$39.19	$50.96
United Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $15.12 / $16.05	Professional		$13.38	$15.12	$16.05