Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $31.13 / $31.13	Facility		$31.13	$31.13	$31.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $30.18 / $37.04	Professional		$18.67	$30.18	$37.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $30.06 / $30.06	Facility		$30.06	$30.06	$30.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $30.06	Professional		$21.94	$21.94	$30.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $83.81 / $99.82	Professional		$74.20	$83.81	$99.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $36.24 / $85.86	Facility		$26.72	$36.24	$85.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $74.44 / $74.44	Professional		$74.44	$74.44	$74.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.81 / $64.48 / $71.02	Facility		$53.81	$64.48	$71.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $53.81 / $53.81	Professional		$53.81	$53.81	$53.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $31.14 / $92.96	Facility		$19.05	$31.14	$92.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $72.80 / $2,400,000.00	Professional		$21.94	$72.80	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.04 / $79.90 / $138.51	Facility		$65.04	$79.90	$138.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $82.50 / $107.24	Professional		$73.92	$82.50	$107.24
United Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $22.95 / $38.25	Professional		$21.64	$22.95	$38.25