Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $146.18 / $146.18	Facility		$46.41	$146.18	$146.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $58.35 / $62.13	Professional		$43.05	$58.35	$62.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $64.56 / $84.30	Professional		$64.56	$64.56	$84.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $118.39 / $146.35	Professional		$96.58	$118.39	$146.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.35 / $65.91 / $125.45	Facility		$58.35	$65.91	$125.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $66.78 / $13,910.16	Professional		$62.99	$66.78	$13,910.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.90 / $104.38 / $105.86	Facility		$86.90	$104.38	$105.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.35 / $65.91 / $141.10	Facility		$58.35	$65.91	$141.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.95 / $169.82 / $218.60	Facility		$96.95	$169.82	$218.60
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $73.09 / $84.78	Professional		$73.09	$73.09	$84.78