Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $95.50	Professional		$38.90	$53.70	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $104.71	Professional		$37.15	$43.65	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $154.88	Professional		$47.86	$61.66	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $41.69 / $109.65	Facility		$8.32	$41.69	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $112.20	Professional		$64.57	$79.43	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $66.07 / $134.90	Facility		$58.88	$66.07	$134.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $104.71	Professional		$58.88	$66.07	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $114.82 / $2,691,534.80	Facility		$43.65	$114.82	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $93.33	Professional		$37.15	$43.65	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $30.90 / $44.67	Facility		$4.47	$30.90	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $74.13	Professional		$37.15	$48.98	$74.13