Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $101.88 / $101.88	Facility		$50.94	$101.88	$101.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $42.28 / $50.94	Professional		$40.75	$42.28	$50.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.74 / $57.74 / $57.74	Facility		$57.74	$57.74	$57.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $78.69 / $97.26	Professional		$64.19	$78.69	$97.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $52.96 / $91.30	Facility		$42.28	$52.96	$91.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $42.89 / $52.21	Professional		$40.53	$42.89	$52.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $69.37 / $70.34	Facility		$57.75	$69.37	$70.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $54.27 / $93.50	Facility		$42.28	$54.27	$93.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $2,250,000.00 / $2,400,000.00	Professional		$28.87	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $94.37 / $127.38 / $610.86	Facility		$94.37	$127.38	$610.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $46.61	Professional		$40.53	$40.53	$46.61