Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $88.70	Facility		$88.70	$88.70	$88.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $75.00 / $82.95	Professional		$44.96	$75.00	$82.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $47.79	Professional		$47.79	$47.79	$47.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $233.18 / $279.75	Professional		$190.00	$233.18	$279.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $119.03 / $199.75	Facility		$76.05	$119.03	$199.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.09 / $113.08 / $119.03	Professional		$90.09	$113.08	$119.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.10 / $199.51 / $202.34	Facility		$166.10	$199.51	$202.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $118.60 / $208.30	Facility		$76.05	$118.60	$208.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $113.29 / $2,250,000.00	Professional		$47.79	$113.29	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $108.86 / $108.86	Professional		$103.42	$108.86	$108.86
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $50.47 / $96.30	Professional		$46.67	$50.47	$96.30