Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $44.64 / $44.64	Facility		$44.64	$44.64	$44.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $40.59 / $51.29	Professional		$26.77	$40.59	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $49.68	Facility		$49.68	$49.68	$49.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $36.27 / $49.68	Professional		$36.27	$36.27	$49.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.41 / $120.16 / $143.13	Professional		$106.41	$120.16	$143.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $51.96 / $123.12	Facility		$38.32	$51.96	$123.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $106.74 / $106.74	Professional		$106.74	$106.74	$106.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.80 / $92.47 / $101.84	Facility		$59.80	$92.47	$101.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $59.80 / $59.80	Professional		$59.80	$59.80	$59.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $49.68 / $132.80	Facility		$27.31	$49.68	$132.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $104.27 / $2,400,000.00	Professional		$36.27	$104.27	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.28 / $114.57 / $198.65	Facility		$93.28	$114.57	$198.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $118.29 / $153.77	Professional		$106.01	$118.29	$153.77
United Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $32.92 / $54.86	Professional		$30.91	$32.92	$54.86