Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $61.66	Professional		$25.70	$33.11	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $40.74	Professional		$22.39	$26.30	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $134.90	Professional		$37.15	$47.86	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $37.15 / $50.12	Facility		$3.98	$37.15	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $54.95	Professional		$45.71	$47.86	$54.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $54.95 / $60.26	Facility		$52.48	$54.95	$60.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $60.26	Professional		$52.48	$52.48	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $44.67 / $2,691,534.80	Facility		$26.30	$44.67	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $79.43	Professional		$22.39	$26.30	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $28.84 / $38.90	Facility		$3.89	$28.84	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.12 / $48.98	Professional		$24.55	$25.12	$48.98