Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $48.91	Professional		$42.90	$42.90	$48.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $94.22 / $94.22	Facility		$94.22	$94.22	$94.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $101.57 / $121.70	Professional		$45.61	$101.57	$121.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $61.35 / $92.24	Facility		$42.90	$61.35	$92.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $13,910.16 / $18,772.80	Professional		$53.51	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $94.47 / $95.81	Facility		$51.97	$94.47	$95.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $61.35 / $600,000.00	Facility		$42.90	$61.35	$600,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $69.56 / $120.70	Professional		$47.11	$69.56	$120.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69.95 / $146.43 / $186.87	Facility		$69.95	$146.43	$186.87
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $60.56 / $60.56	Professional		$50.47	$60.56	$60.56