Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $121.32 / $131.26	Professional		$61.36	$121.32	$131.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $71.33	Professional		$71.33	$71.33	$71.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $315.45 / $377.02	Professional		$148.60	$315.45	$377.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.40 / $130.12 / $224.39	Facility		$84.40	$130.12	$224.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.67 / $141.16 / $156.03	Professional		$111.67	$141.16	$156.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.11 / $148.60 / $181.59	Facility		$145.11	$148.60	$181.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $141.44 / $257.08	Facility		$87.98	$141.44	$257.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $135.76 / $2,550,000.00	Professional		$71.33	$135.76	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $74.14 / $141.44	Professional		$70.55	$74.14	$141.44