Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.51 / $77.51 / $77.51	Facility		$77.51	$77.51	$77.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $101.37	Professional		$73.81	$73.81	$101.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.04 / $145.04 / $145.04	Facility		$145.04	$145.04	$145.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $161.93 / $194.05	Professional		$72.72	$161.93	$194.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $105.56 / $158.71	Facility		$73.81	$105.56	$158.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $78.23 / $95.97	Professional		$73.81	$78.23	$95.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $81.20 / $130.22	Facility		$73.81	$81.20	$130.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $105.56 / $2,400,000.00	Facility		$71.23	$105.56	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $80.09 / $2,250,000.00	Professional		$71.23	$80.09	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.71 / $252.42 / $298.08	Facility		$163.71	$252.42	$298.08
United Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $83.42 / $88.58	Professional		$77.70	$83.42	$88.58