Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $154.88	Professional		$44.67	$57.54	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $107.15	Professional		$48.98	$57.54	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $204.17	Professional		$60.26	$75.86	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $63.10 / $97.72	Facility		$6.31	$63.10	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $104.71	Professional		$75.86	$89.13	$104.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $83.18 / $117.49	Facility		$79.43	$83.18	$117.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $117.49	Professional		$79.43	$83.18	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $100.00 / $2,691,534.80	Facility		$45.71	$100.00	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $104.71	Professional		$48.98	$57.54	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $44.67 / $58.88	Facility		$5.89	$44.67	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $87.10	Professional		$43.65	$54.95	$87.10