Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $24.97 / $24.97	Facility		$24.97	$24.97	$24.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $22.70 / $28.68	Professional		$14.97	$22.70	$28.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $28.58	Facility		$28.58	$28.58	$28.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $28.58	Professional		$20.86	$20.86	$28.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $67.19 / $80.04	Professional		$59.51	$67.19	$80.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $29.06 / $68.84	Facility		$21.43	$29.06	$68.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $59.69 / $59.69	Professional		$59.69	$59.69	$59.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $51.71 / $56.95	Facility		$46.75	$51.71	$56.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $47.83 / $47.83	Professional		$47.83	$47.83	$47.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $28.58 / $73.87	Facility		$15.27	$28.58	$73.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $63.00 / $2,400,000.00	Professional		$20.86	$63.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $64.06 / $111.06	Facility		$52.17	$64.06	$111.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $66.15 / $85.99	Professional		$59.28	$66.15	$85.99
United Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $18.41 / $30.45	Professional		$17.28	$18.41	$30.45