Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $61.66	Professional		$25.70	$34.67	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $44.67	Professional		$30.90	$36.31	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $141.25	Professional		$38.90	$50.12	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $67.61	Facility		$28.18	$28.18	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $75.86	Professional		$50.12	$53.70	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Facility		$53.70	$53.70	$64.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $63.10	Professional		$53.70	$53.70	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.90 / $2,691,534.80	Facility		$29.51	$38.90	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $79.43	Professional		$30.90	$30.90	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $79.43 / $186.21	Facility		$52.48	$79.43	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $33.11 / $43.65	Facility		$4.79	$33.11	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $27.54 / $48.98	Professional		$25.70	$27.54	$48.98