Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $398.40 / $480.00	Professional		$384.00	$398.40	$480.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $816.00 / $816.00	Facility		$408.00	$816.00	$816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
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 $398.40 / $480.00 / $621.29	Facility		$398.40	$480.00	$621.29
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 $398.40 / $480.00 / $856.56	Facility		$398.40	$480.00	$856.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $2,400,000.00	Professional		$408.00	$408.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $552.00	Professional		$480.00	$480.00	$552.00