Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $122.70 / $245.40	Facility		$122.70	$122.70	$245.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $101.84 / $122.70	Professional		$101.84	$101.84	$122.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.78 / $216.78 / $216.78	Facility		$216.78	$216.78	$216.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $117.59	Professional		$108.39	$108.39	$117.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $58.23 / $69.80	Professional		$26.15	$58.23	$69.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $134.97 / $218.96	Facility		$5.54	$134.97	$218.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $7.34 / $28.09	Professional		$6.15	$7.34	$28.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $54.17 / $54.94	Facility		$45.10	$54.17	$54.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $145.63 / $2,400,000.00	Facility		$5.54	$145.63	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $69.70 / $142.97	Professional		$27.73	$69.70	$142.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $703.76	Facility		$108.39	$108.39	$703.76
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $122.70	Professional		$122.70	$122.70	$122.70