Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.80 / $377.38 / $598.32	Facility		$97.80	$377.38	$598.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $110.61 / $745.60	Professional		$106.31	$110.61	$745.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.54 / $198.54 / $198.54	Facility		$198.54	$198.54	$198.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.07 / $307.24 / $329.08	Professional		$257.07	$307.24	$329.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.32 / $152.04 / $273.54	Facility		$106.32	$152.04	$273.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.08 / $187.55 / $228.47	Facility		$137.08	$187.55	$228.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.32 / $152.04 / $228.59	Facility		$106.32	$152.04	$228.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $2,250,000.00	Professional		$109.99	$109.99	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $518.16	Professional		$450.58	$450.58	$518.16