Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $61.48	Professional		$53.00	$53.00	$61.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $108.92 / $198.22	Facility		$50.00	$108.92	$198.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $62.50	Professional		$53.00	$53.00	$62.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $129.66 / $220.45	Professional		$105.12	$129.66	$220.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $1,254.00	Facility		$53.00	$53.00	$1,254.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $56.18 / $68.90	Professional		$53.00	$56.18	$68.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $285.95	Facility		$50.00	$60.00	$285.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $72.61 / $1,254.00	Facility		$53.00	$72.61	$1,254.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $103.22 / $2,250,000.00	Professional		$53.00	$103.22	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $53.00 / $53.00	Professional		$50.35	$53.00	$53.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $60.95	Professional		$53.00	$53.00	$60.95