Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $83.20	Professional		$42.00	$42.00	$83.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Professional		$39.75	$39.75	$39.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $124.63 / $146.35	Professional		$101.26	$124.63	$146.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $53.42 / $90.30	Facility		$42.00	$53.42	$90.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $51.86 / $56.09	Professional		$50.75	$51.86	$56.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $51.86 / $61.43	Facility		$45.20	$51.86	$61.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $53.42 / $58.76	Professional		$48.08	$53.42	$58.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $52.61 / $90.30	Facility		$42.00	$52.61	$90.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $51.86 / $2,250,000.00	Professional		$39.75	$51.86	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.86 / $54.97 / $215.57	Facility		$51.86	$54.97	$215.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $58.76 / $58.76	Professional		$55.82	$58.76	$58.76
United Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $31.12 / $51.86	Professional		$31.12	$31.12	$51.86