Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $23.75 / $23.75	Facility		$23.75	$23.75	$23.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.03 / $15.14	Professional		$11.02	$11.03	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $21.62 / $21.62	Facility		$21.62	$21.62	$21.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $10.91 / $10.91	Professional		$10.91	$10.91	$10.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $24.14 / $28.94	Professional		$10.84	$24.14	$28.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $13.79 / $23.71	Facility		$11.03	$13.79	$23.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.70 / $17,728.12	Professional		$11.03	$11.70	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $12.37 / $22.73	Facility		$10.31	$12.37	$22.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $15.77 / $600,000.00	Facility		$10.62	$15.77	$600,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $11.97 / $14.05	Professional		$10.62	$11.97	$14.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $39.02 / $52.29	Facility		$19.03	$39.02	$52.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $10.35 / $10.35	Professional		$10.35	$10.35	$10.35
United Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.62 / $11.83	Professional		$11.14	$11.62	$11.83