Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $61.66	Professional		$26.92	$33.11	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $44.67	Professional		$30.90	$37.15	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $147.91	Professional		$38.90	$50.12	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $38.90 / $53.70	Facility		$4.47	$38.90	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $57.54	Professional		$40.74	$47.86	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $54.95 / $57.54	Facility		$53.70	$54.95	$57.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $56.23	Professional		$53.70	$54.95	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $45.71 / $2,691,534.80	Facility		$27.54	$45.71	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $79.43	Professional		$30.90	$37.15	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $77.62 / $177.83	Facility		$53.70	$77.62	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $32.36 / $42.66	Facility		$3.89	$32.36	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $27.54 / $52.48	Professional		$25.70	$27.54	$52.48