Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $12.04 / $35.00	Facility		$12.04	$12.04	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $14.53 / $15.14	Professional		$12.04	$14.53	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $60.30 / $60.30	Facility		$60.30	$60.30	$60.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $32.71	Professional		$30.15	$30.15	$32.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $29.13 / $34.90	Professional		$13.08	$29.13	$34.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.65 / $32.54	Facility		$15.14	$21.65	$32.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $9.74 / $17,728.12	Professional		$9.06	$9.74	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.65 / $2,400,000.00	Facility		$15.14	$21.65	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $30.15 / $40.11	Professional		$19.48	$30.15	$40.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $41.00 / $53.59	Facility		$25.16	$41.00	$53.59
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $20.13	Professional		$17.50	$17.50	$20.13