Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $30.91 / $55.00	Professional		$28.50	$30.91	$55.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $57.00 / $57.00	Facility		$57.00	$57.00	$57.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Professional		$29.33	$29.33	$29.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $63.22 / $75.73	Professional		$28.39	$63.22	$75.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $42.49 / $63.88	Facility		$29.71	$42.49	$63.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $31.50 / $17,728.12	Professional		$29.71	$31.50	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.98 / $32.33 / $59.92	Facility		$25.98	$32.33	$59.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $42.49 / $600,000.00	Facility		$28.00	$42.49	$600,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $31.81 / $46.35	Professional		$28.00	$31.81	$46.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $52.58 / $66.66	Facility		$25.16	$52.58	$66.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $27.35 / $27.35	Professional		$27.35	$27.35	$27.35
United Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $30.53 / $30.53	Professional		$28.75	$30.53	$30.53