Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $149.47 / $177.86	Professional		$75.59	$149.47	$177.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $87.87 / $87.87	Professional		$87.87	$87.87	$87.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.06 / $388.80 / $464.68	Professional		$183.06	$388.80	$464.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.96 / $160.30 / $276.42	Facility		$103.96	$160.30	$276.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.57 / $173.91 / $192.21	Professional		$137.57	$173.91	$192.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.77 / $183.06 / $205.03	Facility		$178.77	$183.06	$205.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.19 / $174.24 / $316.69	Facility		$116.19	$174.24	$316.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $174.24 / $2,550,000.00	Professional		$87.87	$174.24	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $91.33 / $174.24	Professional		$85.97	$91.33	$174.24