Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $76.65 / $102.00	Professional		$48.08	$76.65	$102.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $186.26 / $186.26	Facility		$93.13	$186.26	$186.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $198.86 / $230.80	Professional		$173.93	$198.86	$230.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.84 / $182.16 / $191.58	Facility		$134.84	$182.16	$191.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $184.97 / $184.97	Facility		$154.00	$184.97	$184.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.84 / $186.26 / $2,400,000.00	Facility		$134.84	$186.26	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $118.91 / $2,400,000.00	Professional		$93.13	$118.91	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $105.00	Professional		$91.30	$91.30	$105.00