Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $53.75 / $351.56	Facility		$53.75	$53.75	$351.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $59.40 / $74.72	Professional		$45.16	$59.40	$74.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $50.31 / $50.31	Professional		$50.31	$50.31	$50.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.88 / $133.72 / $169.51	Professional		$111.88	$133.72	$169.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $90.47 / $160.19	Facility		$50.56	$90.47	$160.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $128.52 / $128.52	Professional		$128.52	$128.52	$128.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.65 / $120.89 / $122.61	Facility		$100.65	$120.89	$122.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.46 / $94.15 / $163.19	Facility		$56.46	$94.15	$163.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $2,250,000.00 / $2,400,000.00	Professional		$50.31	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $346.05 / $497.80 / $607.19	Facility		$346.05	$497.80	$607.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $117.12 / $153.96	Professional		$98.55	$117.12	$153.96
United Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $123.22 / $188.84	Professional		$89.66	$123.22	$188.84