Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $19.20 / $125.00	Facility		$19.19	$19.20	$125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.20 / $19.20	Professional		$19.19	$19.20	$19.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $23.78 / $23.78	Facility		$23.78	$23.78	$23.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $12.90	Professional		$11.89	$11.89	$12.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $24.85 / $29.79	Professional		$11.16	$24.85	$29.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $21.12 / $41.28	Facility		$14.58	$21.12	$41.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $18,772.80 / $65,599.34	Professional		$23.88	$18,772.80	$65,599.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $79,999.20 / $79,999.20	Facility		$19.96	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $24.95 / $2,400,000.00	Facility		$19.20	$24.95	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $24.95 / $29.75	Professional		$11.89	$24.95	$29.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $37.61 / $48.43	Facility		$21.47	$37.61	$48.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $20.23 / $20.23	Professional		$20.23	$20.23	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $30.89 / $30.89	Professional		$25.74	$30.89	$30.89