Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.90 / $237.90 / $237.90	Facility		$237.90	$237.90	$237.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $210.36 / $249.05	Professional		$157.00	$210.36	$249.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.46 / $445.46 / $445.46	Facility		$445.46	$445.46	$445.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.91 / $638.92 / $689.36	Professional		$553.91	$638.92	$689.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.05 / $356.14 / $535.46	Facility		$249.05	$356.14	$535.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $325.62 / $492.77 / $542.70	Facility		$325.62	$492.77	$542.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.05 / $356.14 / $535.46	Facility		$249.05	$356.14	$535.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $2,250,000.00	Professional		$306.00	$306.00	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $345.00	Professional		$300.00	$300.00	$345.00