Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.13 / $241.13 / $241.13	Facility		$241.13	$241.13	$241.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $198.68 / $249.65	Professional		$125.89	$198.68	$249.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.99 / $633.90 / $760.50	Professional		$509.99	$633.90	$760.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.65 / $275.20 / $536.75	Facility		$249.65	$275.20	$536.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $261.45 / $275.20	Professional		$261.45	$261.45	$275.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $327.44 / $499.46 / $550.07	Facility		$327.44	$499.46	$550.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $327.44 / $327.44 / $327.44	Professional		$327.44	$327.44	$327.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.65 / $274.62 / $536.75	Facility		$249.65	$274.62	$536.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $261.95 / $2,400,000.00	Professional		$160.94	$261.95	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $144.59 / $261.95	Professional		$144.59	$144.59	$261.95