Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $85.76 / $205.92	Facility		$85.76	$85.76	$205.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $90.07 / $95.31	Professional		$54.15	$90.07	$95.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.58 / $160.58 / $160.58	Facility		$160.58	$160.58	$160.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $230.33 / $248.51	Professional		$199.69	$230.33	$248.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $148.63 / $254.81	Facility		$95.31	$148.63	$254.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.06 / $205.06 / $205.06	Professional		$205.06	$205.06	$205.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.38 / $177.64 / $195.64	Facility		$117.38	$177.64	$195.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $160.58 / $260.10	Facility		$95.31	$160.58	$260.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $2,400,000.00	Professional		$80.29	$80.29	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $63.23 / $105.38	Professional		$24.54	$63.23	$105.38