Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $34.93 / $43.09	Professional		$20.54	$34.93	$43.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $36.29	Professional		$36.29	$36.29	$36.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $93.75 / $123.64	Professional		$80.09	$93.75	$123.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $56.34 / $106.92	Facility		$35.15	$56.34	$106.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $92.70	Professional		$92.70	$92.70	$92.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $87.20 / $88.44	Facility		$72.59	$87.20	$88.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $58.68 / $115.91	Facility		$37.40	$58.68	$115.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $2,250,000.00 / $2,400,000.00	Professional		$36.29	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $98.01 / $122.16	Professional		$88.57	$98.01	$122.16
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.58 / $47.29	Professional		$19.05	$28.58	$47.29