Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $45.41 / $45.41	Facility		$45.41	$45.41	$45.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $55.85	Professional		$50.72	$50.72	$55.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.84 / $73.65 / $109.24	Facility		$47.84	$73.65	$109.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $59.81	Professional		$50.71	$50.71	$59.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $110.69 / $149.13	Professional		$89.72	$110.69	$149.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $50.72 / $126.50	Facility		$45.41	$50.72	$126.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $53.76 / $63.40	Professional		$50.72	$53.76	$63.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $50.72 / $105.26	Facility		$43.45	$50.72	$105.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $57.91 / $126.50	Facility		$50.72	$57.91	$126.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $59.81 / $2,250,000.00	Professional		$50.71	$59.81	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $50.72 / $50.72	Professional		$48.18	$50.72	$50.72
United Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $58.33	Professional		$50.72	$50.72	$58.33