Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.50 / $162.50 / $325.00	Facility		$162.50	$162.50	$325.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $162.50	Professional		$134.88	$134.88	$162.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.60 / $275.60 / $275.60	Facility		$275.60	$275.60	$275.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $149.50	Professional		$137.80	$137.80	$149.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.93 / $233.66 / $280.00	Professional		$104.93	$233.66	$280.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $192.88 / $294.76	Facility		$134.88	$192.88	$294.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $148.86 / $231.05	Professional		$148.86	$148.86	$231.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $217.34 / $220.43	Facility		$180.95	$217.34	$220.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $275.60 / $2,400,000.00	Facility		$134.88	$275.60	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $177.40 / $279.64	Professional		$137.80	$177.40	$279.64
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $332.96	Professional		$332.96	$332.96	$332.96