Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $134.52 / $162.08	Professional		$129.66	$134.52	$162.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $324.16 / $324.16	Facility		$162.08	$324.16	$324.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $191.13	Professional		$162.08	$162.08	$191.13
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 $134.52 / $147.97 / $289.22	Facility		$134.52	$147.97	$289.22
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 $134.52 / $162.08 / $289.22	Facility		$134.52	$162.08	$289.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $191.13 / $2,400,000.00	Professional		$162.08	$191.13	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $186.39	Professional		$162.08	$162.08	$186.39