Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $416.87	Professional		$208.93	$251.19	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $204.17 / $239.88	Professional		$33.11	$204.17	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,174.90	Professional		$891.25	$1,071.52	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $40.74 / $338.84	Facility		$33.11	$40.74	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $316.23 / $331.13	Professional		$309.03	$316.23	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $691.83 / $831.76	Facility		$407.38	$691.83	$831.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $831.76	Professional		$691.83	$831.76	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $346.74 / $2,691,534.80	Facility		$208.93	$346.74	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $204.17 / $239.88	Professional		$39.81	$204.17	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $245.47 / $323.59	Facility		$32.36	$245.47	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $398.11	Professional		$190.55	$208.93	$398.11