Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $96.00	Facility		$48.00	$48.00	$96.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $39.84 / $48.00	Professional		$39.84	$39.84	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $84.80 / $84.80	Facility		$84.80	$84.80	$84.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $46.00	Professional		$42.40	$42.40	$46.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $20.60 / $24.69	Professional		$9.25	$20.60	$24.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $56.97 / $85.66	Facility		$39.84	$56.97	$85.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $20.55 / $87.78	Professional		$16.46	$20.55	$87.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $19.16 / $19.43	Facility		$15.95	$19.16	$19.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $56.97 / $2,400,000.00	Facility		$39.84	$56.97	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $42.40 / $56.00	Professional		$15.64	$42.40	$56.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $31.83 / $40.11	Facility		$21.86	$31.83	$40.11
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00