Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.75 / $93.75 / $187.50	Facility		$93.75	$93.75	$187.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $77.81 / $93.75	Professional		$77.81	$77.81	$93.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $159.00 / $159.00	Facility		$159.00	$159.00	$159.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $86.25	Professional		$79.50	$79.50	$86.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $156.26 / $187.23	Professional		$70.17	$156.26	$187.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $111.27 / $191.73	Facility		$77.81	$111.27	$191.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $13,910.16 / $18,772.80	Professional		$86.25	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $145.34 / $147.40	Facility		$121.00	$145.34	$147.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $155.36 / $2,400,000.00	Facility		$77.81	$155.36	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $154.50	Professional		$79.50	$79.50	$154.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $226.86 / $287.49	Facility		$135.00	$226.86	$287.49
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $90.69	Professional		$90.69	$90.69	$90.69