Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.26 / $217.26 / $217.26	Facility		$217.26	$217.26	$217.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.08 / $223.16 / $273.64	Professional		$206.08	$223.16	$273.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.91 / $166.91 / $166.91	Professional		$166.91	$166.91	$166.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.06 / $237.72 / $467.11	Facility		$211.06	$237.72	$467.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Professional		$12.50	$12.50	$12.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.13 / $276.72 / $79,999.20	Facility		$264.13	$276.72	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.06 / $238.99 / $467.11	Facility		$211.06	$238.99	$467.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $1,800,000.00 / $2,400,000.00	Professional		$65.81	$1,800,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49