Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $29.12 / $33.18	Professional		$17.34	$29.12	$33.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $93.07 / $109.30	Professional		$75.62	$93.07	$109.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $39.61 / $71.34	Facility		$33.18	$39.61	$71.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $38.68 / $41.59	Professional		$36.75	$38.68	$41.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $39.61 / $45.55	Facility		$36.22	$39.61	$45.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $38.32 / $71.34	Facility		$33.18	$38.32	$71.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $38.32 / $2,250,000.00	Professional		$32.44	$38.32	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $43.57 / $43.57	Professional		$41.39	$43.57	$43.57
United Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $37.70	Professional		$20.81	$20.81	$37.70