Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.91 / $87.91 / $87.91	Facility		$87.91	$87.91	$87.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $72.97 / $72.97	Professional		$72.97	$72.97	$72.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.82 / $344.82 / $344.82	Facility		$344.82	$344.82	$344.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.57 / $392.82 / $662.98	Professional		$340.57	$392.82	$662.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.97 / $88.97 / $156.88	Facility		$72.97	$88.97	$156.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.52 / $88.97 / $302.95	Facility		$84.52	$88.97	$302.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.97 / $104.35 / $344.82	Facility		$72.97	$104.35	$344.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $1,800,000.00	Professional		$136.94	$136.94	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $96.04	Professional		$83.51	$83.51	$96.04