Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $52.48	Professional		$21.88	$28.84	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $36.31	Professional		$26.30	$30.90	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $114.82	Professional		$31.62	$40.74	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $31.62 / $42.66	Facility		$4.17	$31.62	$42.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $41.69 / $45.71	Professional		$38.90	$41.69	$45.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $45.71 / $52.48	Facility		$43.65	$45.71	$52.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $52.48	Professional		$43.65	$45.71	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $38.02 / $2,691,534.80	Facility		$22.91	$38.02	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $79.43	Professional		$26.30	$30.90	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $147.91	Facility		$44.67	$64.57	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $25.12 / $33.88	Facility		$3.39	$25.12	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $43.65	Professional		$20.89	$22.91	$43.65