Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $235.00 / $235.00	Facility		$235.00	$235.00	$235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $205.68	Professional		$163.24	$163.24	$205.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.78 / $358.78 / $358.78	Facility		$358.78	$358.78	$358.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $230.81 / $276.58	Professional		$103.65	$230.81	$276.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $211.26 / $350.97	Facility		$163.24	$211.26	$350.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $13,910.16 / $18,772.80	Professional		$150.94	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.75 / $214.70 / $217.75	Facility		$178.75	$214.70	$217.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $233.43 / $600,000.00	Facility		$163.24	$233.43	$600,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $179.39 / $273.70	Professional		$134.43	$179.39	$273.70
United Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $192.05 / $197.98	Professional		$186.43	$192.05	$197.98