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 / $45.71	Professional		$19.05	$25.12	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $28.84	Professional		$21.88	$25.70	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $102.33	Professional		$26.92	$34.67	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $25.12 / $34.67	Facility		$3.72	$25.12	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $39.81	Professional		$31.62	$34.67	$39.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $46.77	Facility		$38.02	$39.81	$46.77
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $46.77	Professional		$38.02	$39.81	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.90 / $2,691,534.80	Facility		$19.50	$30.90	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $79.43	Professional		$21.88	$25.70	$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 $2.82 / $21.38 / $28.18	Facility		$2.82	$21.38	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $36.31	Professional		$19.05	$19.95	$36.31