Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $35.08 / $121.14	Professional		$17.28	$35.08	$121.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $77.40 / $92.77	Professional		$34.76	$77.40	$92.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.08 / $45.62 / $75.42	Facility		$35.08	$45.62	$75.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $40.26 / $43.96	Professional		$39.40	$40.26	$43.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $42.44 / $45.34	Facility		$40.22	$42.44	$45.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $42.11 / $2,550,000.00	Facility		$36.59	$42.11	$2,550,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $40.26 / $49.16	Professional		$25.50	$40.26	$49.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.61 / $109.04 / $142.41	Facility		$54.61	$109.04	$142.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $33.18 / $33.78	Professional		$33.18	$33.18	$33.78
United Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $54.89 / $73.18	Facility		$54.89	$54.89	$73.18
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $57.92 / $94.51	Professional		$21.53	$57.92	$94.51