Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $156.22 / $182.81	Professional		$79.01	$156.22	$182.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $91.84	Professional		$91.84	$91.84	$91.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $406.60 / $485.96	Professional		$191.34	$406.60	$485.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $189.88 / $288.92	Facility		$108.67	$189.88	$288.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $181.77 / $200.91	Professional		$143.80	$181.77	$200.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $172.21 / $186.86 / $210.47	Facility		$172.21	$186.86	$210.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.46 / $189.88 / $331.02	Facility		$121.46	$189.88	$331.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $182.13 / $2,550,000.00	Professional		$91.84	$182.13	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $95.46 / $182.13	Professional		$89.86	$95.46	$182.13