Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $86.53 / $107.03	Professional		$63.90	$86.53	$107.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $54.53 / $113.71	Professional		$49.62	$54.53	$113.71
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 $72.58 / $107.03 / $220.48	Facility		$72.58	$107.03	$220.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $17,150.38 / $18,772.80	Professional		$31.08	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.08 / $79,999.20	Facility		$31.08	$31.08	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.58 / $107.03 / $230.11	Facility		$72.58	$107.03	$230.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $89.11 / $89.78	Professional		$89.11	$89.11	$89.78
United Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $93.09 / $137.26	Professional		$67.01	$93.09	$137.26