Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $14.39	Facility		$14.39	$14.39	$14.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $12.97 / $15.99	Professional		$7.51	$12.97	$15.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $38.65 / $45.89	Professional		$31.41	$38.65	$45.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $29.76 / $43.16	Facility		$15.99	$29.76	$43.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Professional		$34.40	$34.40	$34.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $29.81 / $32.83	Facility		$3.80	$29.81	$32.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $33.45 / $43.35	Facility		$15.99	$33.45	$43.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $40.86 / $2,400,000.00	Professional		$13.47	$40.86	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.50 / $49.58	Professional		$34.18	$34.50	$49.58
United Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $10.61 / $17.68	Professional		$9.58	$10.61	$17.68