Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Facility		$52.57	$52.57	$52.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $66.09 / $81.75	Professional		$50.92	$66.09	$81.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.44 / $98.44 / $98.44	Facility		$98.44	$98.44	$98.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Professional		$49.22	$49.22	$49.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $141.19 / $155.38	Professional		$122.40	$141.19	$155.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $94.52 / $156.04	Facility		$66.09	$94.52	$156.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $125.71 / $17,728.12	Professional		$43.98	$125.71	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $118.25 / $119.93	Facility		$98.45	$118.25	$119.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $94.52 / $156.04	Facility		$45.57	$94.52	$156.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $96.52 / $2,250,000.00	Professional		$45.57	$96.52	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $18.64	Professional		$16.22	$16.22	$18.64