Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.89 / $169.89 / $169.89	Facility		$169.89	$169.89	$169.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.12 / $176.43 / $219.05	Professional		$159.12	$176.43	$219.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Professional		$134.00	$134.00	$134.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.43 / $189.03 / $365.26	Facility		$163.43	$189.03	$365.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $210.03 / $220.76 / $79,999.20	Facility		$210.03	$220.76	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.06 / $189.84 / $365.26	Facility		$164.06	$189.84	$365.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $1,800,000.00 / $2,400,000.00	Professional		$45.05	$1,800,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71