Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $330.31 / $330.31	Facility		$330.31	$330.31	$330.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $498.26	Professional		$461.36	$461.36	$498.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $737.30 / $1,003.10	Facility		$435.24	$737.30	$1,003.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $544.04	Professional		$461.36	$461.36	$544.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.67 / $805.35 / $1,492.28	Professional		$553.67	$805.35	$1,492.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $461.36 / $1,834.80	Facility		$330.31	$461.36	$1,834.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $489.04 / $576.70	Professional		$461.36	$489.04	$576.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $461.36 / $990.93	Facility		$330.31	$461.36	$990.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $558.01 / $1,834.80	Facility		$461.36	$558.01	$1,834.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $713.81 / $2,250,000.00	Professional		$461.36	$713.81	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $530.55	Professional		$461.36	$461.36	$530.55