Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $94.28	Facility		$22.91	$22.91	$94.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $39.13 / $39.13	Professional		$22.91	$39.13	$39.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.28 / $83.28 / $83.28	Facility		$83.28	$83.28	$83.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $45.18	Professional		$41.64	$41.64	$45.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $55.40 / $66.39	Professional		$24.88	$55.40	$66.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $41.18 / $61.92	Facility		$28.80	$41.18	$61.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $33.40 / $17,728.12	Professional		$32.82	$33.40	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $51.53 / $52.26	Facility		$42.90	$51.53	$52.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $51.85 / $2,400,000.00	Facility		$28.80	$51.85	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $78.65	Professional		$41.64	$41.64	$78.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $80.43 / $107.91	Facility		$47.86	$80.43	$107.91
United Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $54.21	Professional		$47.14	$47.14	$54.21