Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $158.49	Professional		$69.18	$144.54	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $457.09	Professional		$181.97	$363.08	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $194.98	Facility		$117.49	$151.36	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $144.54 / $190.55	Professional		$134.90	$144.54	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $173.78 / $177.83	Facility		$165.96	$173.78	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $158.49 / $194.98	Facility		$114.82	$158.49	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $2,570,395.78	Professional		$79.43	$100.00	$2,570,395.78
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $131.83	Professional		$75.86	$83.18	$131.83