Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $34.29	Facility		$25.00	$25.00	$34.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $36.10	Professional		$17.00	$25.00	$36.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $46.27 / $58.73	Professional		$33.17	$46.27	$58.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $35.00 / $60.59	Facility		$21.85	$35.00	$60.59
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 $37.95 / $45.58 / $46.23	Facility		$37.95	$45.58	$46.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $34.29 / $62.05	Facility		$21.85	$34.29	$62.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $47.33 / $2,250,000.00	Professional		$18.97	$47.33	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $39.33 / $60.72	Professional		$34.33	$39.33	$60.72
United Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $50.13 / $111.47	Professional		$32.75	$50.13	$111.47