Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $819.00 / $1,303.25	Facility		$10.57	$819.00	$1,303.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $9.52 / $11.75	Professional		$5.67	$9.52	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $9.90	Professional		$9.90	$9.90	$9.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $28.39 / $33.71	Professional		$23.07	$28.39	$33.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $21.70 / $31.54	Facility		$11.75	$21.70	$31.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $25.28 / $25.28	Professional		$25.28	$25.28	$25.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $23.78 / $24.12	Facility		$12.25	$23.78	$24.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $24.57 / $32.29	Facility		$11.75	$24.57	$32.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $28.62 / $2,400,000.00	Professional		$9.90	$28.62	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $25.34 / $36.42	Professional		$25.10	$25.34	$36.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.79 / $12.90	Professional		$7.08	$7.79	$12.90