Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $66.31 / $66.31	Facility		$66.31	$66.31	$66.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $78.04	Professional		$67.27	$67.27	$78.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $106.77 / $127.24	Facility		$63.47	$106.77	$127.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $79.33	Professional		$67.27	$67.27	$79.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $161.69 / $215.83	Professional		$131.38	$161.69	$215.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $67.27 / $228.17	Facility		$66.31	$67.27	$228.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $71.31 / $87.45	Professional		$67.27	$71.31	$87.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $69.81 / $898.54	Facility		$66.31	$69.81	$898.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $80.72 / $228.17	Facility		$67.27	$80.72	$228.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $97.75 / $2,250,000.00	Professional		$67.27	$97.75	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $67.27 / $67.27	Professional		$63.91	$67.27	$67.27
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $77.36	Professional		$67.27	$67.27	$77.36