Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.18 / $101.18 / $101.18	Facility		$101.18	$101.18	$101.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $63.58 / $91.98	Professional		$57.79	$63.58	$91.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
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 $80.61 / $80.61 / $173.31	Facility		$80.61	$80.61	$173.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.51 / $79,999.20 / $79,999.20	Facility		$136.51	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.61 / $80.61 / $173.31	Facility		$80.61	$80.61	$173.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $2,250,000.00 / $2,400,000.00	Professional		$67.45	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $369.69 / $485.16 / $577.40	Facility		$369.69	$485.16	$577.40
United Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $202.00	Professional		$202.00	$202.00	$202.00