Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $92.57 / $483.00	Facility		$31.75	$92.57	$483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $16.60 / $56.25	Professional		$3.29	$16.60	$56.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $30.74 / $37.93	Professional		$21.91	$30.74	$37.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $17.53 / $41.50	Facility		$14.90	$17.53	$41.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $28.73 / $50.94	Professional		$17.39	$28.73	$50.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $30.64 / $32.83	Facility		$19.70	$30.64	$32.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $17.53 / $42.50	Facility		$14.31	$17.53	$42.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $26.31 / $1,800,000.00	Professional		$14.28	$26.31	$1,800,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $38.24 / $51.40	Professional		$18.77	$38.24	$51.40
United Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $32.44 / $50.21	Professional		$23.52	$32.44	$50.21