Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $81.28	Professional		$36.31	$46.77	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $54.95	Professional		$38.90	$45.71	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $181.97	Professional		$47.86	$61.66	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $50.12 / $89.13	Facility		$7.24	$50.12	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $81.28	Professional		$64.57	$69.18	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $67.61 / $91.20	Facility		$66.07	$67.61	$91.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $83.18	Professional		$66.07	$67.61	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $64.57 / $2,691,534.80	Facility		$36.31	$64.57	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $87.10	Professional		$38.90	$45.71	$87.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $102.33 / $234.42	Facility		$66.07	$102.33	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $38.02 / $50.12	Facility		$5.01	$38.02	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $69.18	Professional		$36.31	$41.69	$69.18