Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $17.36 / $21.94	Professional		$11.45	$17.36	$21.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $28.09 / $28.09	Facility		$28.09	$28.09	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $28.09	Professional		$20.51	$20.51	$28.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $51.40 / $61.20	Professional		$45.50	$51.40	$61.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $22.22 / $52.65	Facility		$16.38	$22.22	$52.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.65 / $45.65 / $45.65	Professional		$45.65	$45.65	$45.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $42.94 / $53.81	Facility		$35.75	$42.94	$53.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $53.81 / $53.81	Professional		$53.81	$53.81	$53.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $21.94 / $56.44	Facility		$11.68	$21.94	$56.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $45.50 / $2,400,000.00	Professional		$20.51	$45.50	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $48.99 / $84.96	Facility		$39.89	$48.99	$84.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $50.59 / $65.76	Professional		$45.33	$50.59	$65.76
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $14.08 / $23.46	Professional		$13.27	$14.08	$23.46