Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $744.93 / $897.50	Professional		$718.00	$744.93	$897.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $1,525.76 / $1,525.76	Facility		$762.88	$1,525.76	$1,525.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $556.75 / $861.30 / $1,121.88	Facility		$556.75	$861.30	$1,121.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $358.06 / $358.06 / $570.23	Professional		$358.06	$358.06	$570.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $919.55 / $919.55 / $79,999.20	Facility		$919.55	$919.55	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $584.92 / $919.55 / $1,601.60	Facility		$584.92	$919.55	$1,601.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $1,375.00 / $2,250,000.00	Professional		$762.88	$1,375.00	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $2,297.13	Professional		$1,997.50	$1,997.50	$2,297.13