Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.65 / $5.30	Facility		$2.65	$2.65	$5.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $2.65	Professional		$2.20	$2.20	$2.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $5.30 / $5.30	Facility		$5.30	$5.30	$5.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $2.87	Professional		$2.65	$2.65	$2.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $5.68 / $6.80	Professional		$2.54	$5.68	$6.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $3.15 / $6.64	Facility		$2.20	$3.15	$6.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $4.59 / $17,728.12	Professional		$3.04	$4.59	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $5.28 / $5.36	Facility		$4.40	$5.28	$5.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $4.73 / $2,400,000.00	Facility		$2.20	$4.73	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $5.62	Professional		$2.65	$2.65	$5.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $8.25 / $11.06	Facility		$4.91	$8.25	$11.06
United Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $2.65	Professional		$2.65	$2.65	$2.65