Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.92 / $26.92	Facility		$15.85	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $20.42	Professional		$15.85	$15.85	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $32.36 / $33.88	Professional		$13.18	$32.36	$33.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $34.67	Facility		$16.22	$19.50	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $26.92	Professional		$15.85	$19.50	$26.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.70 / $26.30	Facility		$21.38	$25.70	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $3,311,311.21	Facility		$16.22	$23.44	$3,311,311.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $79.43 / $79.43	Professional		$26.92	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $33.88 / $52.48	Facility		$19.05	$33.88	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $16.22	Professional		$13.49	$15.14	$16.22