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 $17.97 / $22.07 / $37.59	Professional		$17.97	$22.07	$37.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $43.24 / $43.24	Facility		$43.24	$43.24	$43.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $21.82 / $21.82	Professional		$21.82	$21.82	$21.82
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 $22.07 / $25.31 / $47.45	Facility		$22.07	$25.31	$47.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $23.39 / $17,728.12	Professional		$22.07	$23.39	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $25.00 / $45.47	Facility		$20.62	$25.00	$45.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $31.56 / $600,000.00	Facility		$21.23	$31.56	$600,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $23.01 / $26.03	Professional		$21.23	$23.01	$26.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $40.22 / $52.29	Facility		$19.03	$40.22	$52.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $20.71 / $20.71	Professional		$20.71	$20.71	$20.71
United Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $23.66 / $23.66	Professional		$22.28	$23.66	$23.66