Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $54.34 / $54.34	Facility		$54.34	$54.34	$54.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $58.70 / $70.83	Professional		$45.24	$58.70	$70.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $142.83 / $171.35	Professional		$113.09	$142.83	$171.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.02 / $67.79 / $135.58	Facility		$55.02	$67.79	$135.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.40 / $122.21 / $123.95	Facility		$81.40	$122.21	$123.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.02 / $66.20 / $152.28	Facility		$55.02	$66.20	$152.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $2,250,000.00 / $2,400,000.00	Professional		$50.86	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $60.55 / $69.63	Professional		$60.55	$60.55	$69.63