Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $69.48 / $77.38	Professional		$31.07	$69.48	$77.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $36.11	Professional		$36.11	$36.11	$36.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $159.50 / $190.64	Professional		$85.10	$159.50	$190.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $73.70 / $128.50	Facility		$48.33	$73.70	$128.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $80.84 / $89.36	Professional		$63.95	$80.84	$89.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.11 / $85.10 / $93.61	Facility		$83.11	$85.10	$93.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $76.55 / $128.50	Facility		$48.33	$76.55	$128.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $77.73 / $2,550,000.00	Professional		$36.11	$77.73	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $37.54 / $71.63	Professional		$35.34	$37.54	$71.63