Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $199.53	Professional		$79.43	$162.18	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $512.86	Professional		$194.98	$407.38	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $165.96 / $234.42	Facility		$138.04	$165.96	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $204.17	Professional		$144.54	$158.49	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $190.55	Facility		$186.21	$186.21	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $181.97 / $234.42	Facility		$120.23	$181.97	$234.42
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 $87.10 / $95.50 / $151.36	Professional		$87.10	$95.50	$151.36