Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $80.01 / $102.01	Professional		$46.62	$80.01	$102.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $62.26 / $62.26	Facility		$62.26	$62.26	$62.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $45.92	Professional		$45.92	$45.92	$45.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $124.73 / $154.69	Professional		$102.09	$124.73	$154.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $93.21 / $161.51	Facility		$74.40	$93.21	$161.51
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 $91.85 / $110.32 / $111.89	Facility		$91.85	$110.32	$111.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $95.95 / $172.02	Facility		$77.40	$95.95	$172.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $1,800,000.00 / $2,400,000.00	Professional		$45.92	$1,800,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $129.68 / $158.22	Professional		$90.43	$129.68	$158.22
United Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $118.70 / $257.36	Professional		$85.42	$118.70	$257.36