Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $71.66 / $71.66	Facility		$71.66	$71.66	$71.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $71.66 / $86.44	Professional		$42.98	$71.66	$86.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Facility		$37.95	$37.95	$37.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $27.70 / $37.95	Professional		$27.70	$27.70	$37.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.81 / $192.90 / $229.76	Professional		$170.81	$192.90	$229.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.51 / $83.40 / $197.64	Facility		$61.51	$83.40	$197.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.35 / $171.35 / $171.35	Professional		$171.35	$171.35	$171.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $148.44 / $163.47	Facility		$62.83	$148.44	$163.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $62.83 / $62.83	Professional		$62.83	$62.83	$62.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $71.68 / $213.31	Facility		$40.42	$71.68	$213.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $167.70 / $2,400,000.00	Professional		$27.70	$167.70	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $183.90 / $318.86	Facility		$149.72	$183.90	$318.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.17 / $189.89 / $246.85	Professional		$170.17	$189.89	$246.85
United Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $52.84 / $88.06	Professional		$50.66	$52.84	$88.06