Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $44.67	Professional		$19.05	$25.12	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $33.11	Professional		$22.91	$26.92	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $104.71	Professional		$26.92	$34.67	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $21.38 / $36.31	Facility		$2.88	$21.38	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $39.81	Professional		$33.11	$35.48	$39.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $40.74 / $44.67	Facility		$37.15	$40.74	$44.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $39.81 / $44.67	Professional		$37.15	$39.81	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $32.36 / $2,691,534.80	Facility		$19.50	$32.36	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $79.43	Professional		$22.91	$26.92	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $125.89	Facility		$38.90	$54.95	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $21.38 / $28.84	Facility		$2.88	$21.38	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.50 / $37.15	Professional		$18.20	$19.50	$37.15