Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $32.36 / $32.36	Facility		$30.20	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.49 / $36.31	Professional		$7.94	$15.49	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $74.13 / $85.11	Professional		$34.67	$74.13	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $3,019.95	Facility		$30.20	$48.98	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $50.12 / $66.07	Professional		$13.18	$50.12	$66.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.11 / $47.86	Facility		$26.92	$33.11	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $1,659,586.91	Facility		$30.20	$42.66	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $79.43	Professional		$20.89	$26.92	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $181.97	Facility		$107.15	$151.36	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $173.78 / $229.09	Facility		$141.25	$173.78	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $81.28	Professional		$14.45	$32.36	$81.28