Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.25 / $26.25 / $26.25	Facility		$26.25	$26.25	$26.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $21.79 / $26.15	Professional		$21.79	$21.79	$26.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.66 / $348.66 / $348.66	Facility		$348.66	$348.66	$348.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Professional		$174.33	$174.33	$174.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.57 / $500.11 / $539.58	Professional		$433.57	$500.11	$539.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $33.97 / $553.61	Facility		$21.79	$33.97	$553.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $445.23 / $445.23 / $445.23	Professional		$445.23	$445.23	$445.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $254.87 / $385.70 / $424.78	Facility		$254.87	$385.70	$424.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $46.85 / $565.25	Facility		$21.79	$46.85	$565.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $2,400,000.00	Professional		$174.33	$174.33	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $137.29 / $231.91	Professional		$126.62	$137.29	$231.91