Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $64.57	Professional		$28.18	$33.88	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $44.67	Professional		$32.36	$38.02	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $158.49	Professional		$41.69	$53.70	$158.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $41.69 / $58.88	Facility		$4.90	$41.69	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $61.66	Professional		$44.67	$52.48	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $61.66	Facility		$57.54	$57.54	$61.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $60.26	Professional		$57.54	$57.54	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $50.12 / $2,691,534.80	Facility		$28.84	$50.12	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $81.28	Professional		$32.36	$38.02	$81.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $186.21	Facility		$56.23	$81.28	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $33.11 / $43.65	Facility		$4.37	$33.11	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $54.95	Professional		$28.18	$28.84	$54.95