Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $39.11 / $47.08	Professional		$18.39	$39.11	$47.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $31.07 / $31.07	Professional		$31.07	$31.07	$31.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $82.45 / $98.11	Professional		$74.79	$82.45	$98.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $41.91 / $79.13	Facility		$28.78	$41.91	$79.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $63.45 / $74.65	Facility		$44.79	$63.45	$74.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $41.91 / $79.13	Facility		$29.93	$41.91	$79.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $31.07 / $2,400,000.00	Professional		$31.07	$31.07	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $64.41 / $105.88	Professional		$43.66	$64.41	$105.88
United Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $66.67 / $116.79	Professional		$42.94	$66.67	$116.79