Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.58 / $172.43 / $172.43	Facility		$91.58	$172.43	$172.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $49.50 / $75.00	Professional		$36.85	$49.50	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $72.68 / $72.68	Facility		$72.68	$72.68	$72.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $80.97 / $97.02	Professional		$36.36	$80.97	$97.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $70.79 / $106.43	Facility		$42.67	$70.79	$106.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $54.44 / $17,728.12	Professional		$49.50	$54.44	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $41.27 / $76.48	Facility		$33.17	$41.27	$76.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $70.79 / $600,000.00	Facility		$35.70	$70.79	$600,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $48.76 / $58.36	Professional		$35.70	$48.76	$58.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $110.03 / $110.03 / $110.03	Facility		$110.03	$110.03	$110.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $34.90 / $34.90	Professional		$34.90	$34.90	$34.90
United Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $52.25 / $52.25	Professional		$49.20	$52.25	$52.25