Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $26.31 / $52.62	Facility		$26.31	$26.31	$52.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $21.84 / $26.31	Professional		$21.84	$21.84	$26.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.10 / $42.10 / $42.10	Facility		$42.10	$42.10	$42.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $22.84	Professional		$21.05	$21.05	$22.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $44.02 / $52.77	Professional		$19.77	$44.02	$52.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $31.23 / $53.95	Facility		$21.84	$31.23	$53.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $24.21 / $43.54	Professional		$24.21	$24.21	$43.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $40.96 / $41.54	Facility		$34.10	$40.96	$41.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $42.10 / $2,400,000.00	Facility		$21.84	$42.10	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $33.43 / $52.70	Professional		$21.05	$33.43	$52.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.73 / $68.03 / $81.03	Facility		$55.73	$68.03	$81.03
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05