Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $11.75 / $13.13	Facility		$3.48	$11.75	$13.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $12.76 / $14.22	Professional		$7.27	$12.76	$14.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $28.65 / $28.65	Facility		$28.65	$28.65	$28.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $20.91 / $28.65	Professional		$20.91	$20.91	$28.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $31.63 / $37.67	Professional		$28.01	$31.63	$37.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $13.67 / $32.40	Facility		$10.08	$13.67	$32.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $28.09 / $28.09	Professional		$28.09	$28.09	$28.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $26.42 / $53.81	Facility		$22.00	$26.42	$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 $7.19 / $13.50 / $34.86	Facility		$7.19	$13.50	$34.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $30.28 / $2,400,000.00	Professional		$20.91	$30.28	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.15 / $52.29	Facility		$24.55	$30.15	$52.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $31.13 / $40.47	Professional		$27.90	$31.13	$40.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $8.66 / $14.44	Professional		$8.17	$8.66	$14.44