Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $117.49	Professional		$33.88	$43.65	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $50.12	Professional		$35.48	$41.69	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $158.49	Professional		$44.67	$57.54	$158.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $52.48 / $85.11	Facility		$6.92	$52.48	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $77.62	Professional		$60.26	$64.57	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $87.10	Facility		$63.10	$63.10	$87.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $77.62	Professional		$63.10	$63.10	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $74.13 / $2,691,534.80	Facility		$33.88	$74.13	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $87.10	Professional		$35.48	$41.69	$87.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $95.50 / $223.87	Facility		$61.66	$95.50	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $33.88 / $44.67	Facility		$6.03	$33.88	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $63.10	Professional		$33.11	$40.74	$63.10