Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $36.90	Professional		$30.00	$30.00	$36.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $89.13 / $104.68	Professional		$72.42	$89.13	$104.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $38.04 / $64.50	Facility		$30.00	$38.04	$64.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $36.93 / $39.94	Professional		$36.14	$36.93	$39.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $38.04 / $43.75	Facility		$34.24	$38.04	$43.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $37.58 / $64.50	Facility		$30.00	$37.58	$64.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $36.93 / $2,250,000.00	Professional		$14.68	$36.93	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.93 / $39.15 / $153.51	Facility		$36.93	$39.15	$153.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $41.84 / $41.84	Professional		$39.75	$41.84	$41.84
United Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.16 / $36.93	Professional		$22.16	$22.16	$36.93