Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.15 / $231.15 / $231.15	Facility		$231.15	$231.15	$231.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.96 / $202.28 / $254.17	Professional		$129.96	$202.28	$254.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $216.38 / $216.38	Professional		$216.38	$216.38	$216.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.86 / $607.65 / $729.00	Professional		$488.86	$607.65	$729.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $254.17 / $266.88 / $546.47	Facility		$254.17	$266.88	$546.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $432.85 / $519.91 / $527.29	Facility		$432.85	$519.91	$527.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.17 / $369.15 / $690.63	Facility		$254.17	$369.15	$690.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $690.63 / $2,250,000.00	Professional		$216.38	$690.63	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $254.57 / $292.76	Professional		$254.57	$254.57	$292.76