Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $120.65 / $192.91	Professional		$70.30	$120.65	$192.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.82 / $182.69 / $231.59	Professional		$152.82	$182.69	$231.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.95 / $152.83 / $259.39	Facility		$114.95	$152.83	$259.39
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 $137.50 / $165.16 / $167.50	Facility		$137.50	$165.16	$167.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $153.13 / $305.43	Facility		$120.65	$153.13	$305.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $2,250,000.00 / $2,400,000.00	Professional		$68.73	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $194.13 / $236.88	Professional		$135.38	$194.13	$236.88
United Facility/Professional Professional Modifier Low / Median / High Price $127.63 / $177.11 / $486.70	Professional		$127.63	$177.11	$486.70