Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.41 / $83.41 / $83.41	Facility		$83.41	$83.41	$83.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $118.36 / $130.62	Professional		$35.57	$118.36	$130.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.62 / $207.54 / $263.08	Professional		$173.62	$207.54	$263.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.45 / $173.60 / $253.30	Facility		$115.45	$173.60	$253.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $13,910.16 / $18,772.80	Professional		$31.08	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.19 / $187.62 / $190.28	Facility		$156.19	$187.62	$190.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.66 / $173.60 / $280.83	Facility		$108.66	$173.60	$280.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $2,250,000.00 / $2,400,000.00	Professional		$78.08	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.79 / $210.98 / $262.70	Professional		$153.79	$210.98	$262.70
United Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $195.95 / $291.08	Professional		$139.15	$195.95	$291.08