Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $108.68 / $137.52	Professional		$54.99	$108.68	$137.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $282.70 / $344.66	Professional		$166.73	$282.70	$344.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.90 / $144.40 / $251.76	Facility		$79.90	$144.40	$251.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $158.38 / $175.07	Professional		$125.30	$158.38	$175.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $162.82 / $166.73	Facility		$145.19	$162.82	$166.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $146.41 / $261.80	Facility		$94.69	$146.41	$261.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $152.32 / $2,550,000.00	Professional		$63.92	$152.32	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $66.44 / $126.76	Professional		$63.22	$66.44	$126.76