Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $91.49 / $107.29	Professional		$40.28	$91.49	$107.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $46.82	Professional		$46.82	$46.82	$46.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.07 / $207.22 / $252.63	Professional		$130.07	$207.22	$252.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.93 / $107.29 / $192.95	Facility		$55.93	$107.29	$192.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $123.57 / $136.57	Professional		$97.75	$123.57	$136.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.77 / $127.02 / $130.07	Facility		$100.77	$127.02	$130.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.87 / $112.65 / $196.41	Facility		$73.87	$112.65	$196.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $123.80 / $2,550,000.00	Professional		$46.82	$123.80	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $48.67 / $92.85	Professional		$45.81	$48.67	$92.85