Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Facility		$424.47	$424.47	$424.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $414.49 / $499.38	Professional		$399.50	$414.49	$499.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $848.94 / $848.94	Facility		$424.47	$848.94	$848.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
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 $414.49 / $499.38 / $646.40	Facility		$414.49	$499.38	$646.40
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 $414.49 / $499.38 / $891.15	Facility		$414.49	$499.38	$891.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $624.23 / $2,250,000.00	Professional		$424.47	$624.23	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $574.33	Professional		$499.42	$499.42	$574.33