Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $72.34 / $72.34	Facility		$72.20	$72.34	$72.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $72.34	Professional		$36.11	$36.11	$72.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $64.95 / $139.63	Facility		$64.95	$64.95	$139.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $79,999.20 / $79,999.20	Facility		$79.95	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $64.95 / $139.63	Facility		$64.95	$64.95	$139.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $2,250,000.00 / $2,400,000.00	Professional		$21.70	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $305.98 / $346.00	Facility		$228.43	$305.98	$346.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29