Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.36 / $76.36 / $76.36	Facility		$76.36	$76.36	$76.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $76.36 / $92.29	Professional		$45.80	$76.36	$92.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $50.99 / $69.84	Professional		$50.99	$50.99	$69.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.01 / $205.55 / $244.81	Professional		$182.01	$205.55	$244.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $88.88 / $210.60	Facility		$65.54	$88.88	$210.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.59 / $17,728.12 / $17,728.12	Professional		$182.59	$17,728.12	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $163.34 / $174.20	Facility		$143.00	$163.34	$174.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $163.34 / $163.34	Professional		$163.34	$163.34	$163.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $76.38 / $227.42	Facility		$46.71	$76.38	$227.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $193.20 / $2,400,000.00	Professional		$50.99	$193.20	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $159.54 / $195.96 / $339.79	Facility		$159.54	$195.96	$339.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.32 / $202.35 / $263.02	Professional		$181.32	$202.35	$263.02
United Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $56.30 / $93.14	Professional		$52.87	$56.30	$93.14