Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $26.43 / $26.43	Facility		$26.43	$26.43	$26.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.04 / $30.37	Professional		$15.85	$24.04	$30.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $54.94 / $54.94	Facility		$54.94	$54.94	$54.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $54.94	Professional		$40.11	$40.11	$54.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $71.16 / $84.73	Professional		$63.00	$71.16	$84.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $30.77 / $72.90	Facility		$22.69	$30.77	$72.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $63.20 / $63.20	Professional		$63.20	$63.20	$63.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $59.46 / $93.20	Facility		$49.50	$59.46	$93.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $93.20 / $93.20	Professional		$93.20	$93.20	$93.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $30.37 / $78.84	Facility		$16.17	$30.37	$78.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $63.20 / $2,400,000.00	Professional		$40.11	$63.20	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.23 / $67.81 / $117.62	Facility		$55.23	$67.81	$117.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $70.05 / $91.05	Professional		$62.77	$70.05	$91.05
United Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $19.48 / $32.47	Professional		$18.37	$19.48	$32.47