Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $415.00 / $498.00	Professional		$415.00	$415.00	$498.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $822.72 / $822.72 / $822.72	Facility		$822.72	$822.72	$822.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,076.39 / $1,241.58 / $1,339.58	Professional		$1,076.39	$1,241.58	$1,339.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $593.45 / $892.25	Facility		$415.00	$593.45	$892.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $601.39 / $957.56 / $1,002.32	Facility		$601.39	$957.56	$1,002.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $593.45 / $892.25	Facility		$415.00	$593.45	$892.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $2,250,000.00	Professional		$432.81	$432.81	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $600.00	Professional		$500.00	$500.00	$600.00