Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $66.04 / $116.15	Professional		$38.47	$66.04	$116.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $51.82 / $51.82	Facility		$51.82	$51.82	$51.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Professional		$38.22	$38.22	$38.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $103.81 / $128.75	Professional		$84.97	$103.81	$128.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $84.94 / $141.99	Facility		$64.40	$84.94	$141.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.45 / $91.83 / $93.13	Facility		$76.45	$91.83	$93.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.04 / $84.94 / $183.90	Facility		$66.04	$84.94	$183.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $2,250,000.00 / $2,400,000.00	Professional		$38.22	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $107.93 / $131.69	Professional		$75.27	$107.93	$131.69
United Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $97.98 / $293.04	Professional		$69.16	$97.98	$293.04