Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $130.11 / $130.11	Facility		$130.11	$130.11	$130.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $126.95	Professional		$109.44	$109.44	$126.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $375.21 / $412.96	Facility		$103.24	$375.21	$412.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $129.05	Professional		$109.44	$109.44	$129.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $317.08 / $759.56	Professional		$218.00	$317.08	$759.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $130.11 / $1,834.80	Facility		$109.44	$130.11	$1,834.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $116.01 / $142.27	Professional		$109.44	$116.01	$142.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $130.11 / $328.32	Facility		$109.44	$130.11	$328.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $149.93 / $1,834.80	Facility		$109.44	$149.93	$1,834.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $314.81 / $2,250,000.00	Professional		$109.44	$314.81	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $125.86	Professional		$109.44	$109.44	$125.86