Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.14 / $185.14 / $185.14	Facility		$185.14	$185.14	$185.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $76.83 / $78.68	Professional		$76.83	$76.83	$78.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $81.77 / $107.63	Professional		$81.77	$81.77	$107.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.93 / $81.77 / $169.88	Facility		$77.93	$81.77	$169.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.54 / $168.54 / $168.54	Professional		$168.54	$168.54	$168.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.93 / $81.77 / $2,400,000.00	Facility		$77.93	$81.77	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $111.08	Professional		$92.57	$92.57	$111.08