Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $23.50 / $23.50	Facility		$23.50	$23.50	$23.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $21.36 / $27.00	Professional		$14.09	$21.36	$27.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $27.60	Facility		$27.60	$27.60	$27.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $27.60	Professional		$20.14	$20.14	$27.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $63.24 / $75.31	Professional		$55.99	$63.24	$75.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $27.34 / $64.80	Facility		$20.17	$27.34	$64.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $56.18 / $56.18	Professional		$56.18	$56.18	$56.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $48.67 / $53.60	Facility		$41.85	$48.67	$53.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $41.85 / $41.85	Professional		$41.85	$41.85	$41.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $27.00 / $69.72	Facility		$14.37	$27.00	$69.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $54.88 / $2,400,000.00	Professional		$20.14	$54.88	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $60.29 / $104.55	Facility		$49.09	$60.29	$104.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $62.26 / $80.94	Professional		$55.79	$62.26	$80.94
United Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $17.32 / $28.87	Professional		$16.27	$17.32	$28.87