Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.94 / $117.88 / $117.88	Facility		$58.94	$117.88	$117.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $48.92 / $84.04	Professional		$47.15	$48.92	$84.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $104.14	Facility		$52.07	$52.07	$104.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $58.94	Professional		$52.07	$52.07	$58.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $52.07 / $105.18	Facility		$48.92	$52.07	$105.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.69 / $79,999.20 / $79,999.20	Facility		$67.69	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $52.07 / $127.50	Facility		$48.92	$52.07	$127.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $68.77 / $2,400,000.00	Professional		$52.07	$68.77	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $78.11 / $166.01	Facility		$51.04	$78.11	$166.01
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $58.94 / $67.78	Professional		$58.94	$58.94	$67.78