Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $37.35 / $37.45	Facility		$37.35	$37.35	$37.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $37.35 / $37.45	Professional		$37.35	$37.35	$37.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $31.89 / $31.89	Professional		$31.89	$31.89	$31.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $84.51 / $101.28	Professional		$37.95	$84.51	$101.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,447.82 / $3,447.82 / $3,447.82	Facility		$3,447.82	$3,447.82	$3,447.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $41.54 / $44.53	Facility		$37.35	$41.54	$44.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.71 / $103.83 / $1,644,020.84	Facility		$82.71	$103.83	$1,644,020.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $46.66 / $111.32	Professional		$43.29	$46.66	$111.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.06 / $125.92 / $153.16	Facility		$100.06	$125.92	$153.16
United Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $49.77 / $100.96	Professional		$36.45	$49.77	$100.96