Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $39.81	Professional		$15.85	$19.95	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $27.54	Professional		$19.50	$22.91	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $89.13	Professional		$23.99	$30.90	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $19.05 / $26.92	Facility		$2.45	$19.05	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $34.67	Professional		$25.12	$26.92	$34.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $35.48	Facility		$33.11	$33.11	$35.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $37.15	Professional		$30.20	$33.88	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.99 / $2,691,534.80	Facility		$16.60	$23.99	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $79.43	Professional		$19.50	$22.91	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $46.77 / $107.15	Facility		$33.88	$46.77	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $18.62 / $24.55	Facility		$2.45	$18.62	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.22 / $31.62	Professional		$15.85	$16.22	$31.62