Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $184.60 / $210.43	Professional		$93.36	$184.60	$210.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $108.53	Professional		$108.53	$108.53	$108.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.10 / $479.94 / $573.62	Professional		$226.10	$479.94	$573.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.41 / $225.97 / $341.41	Facility		$128.41	$225.97	$341.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.92 / $214.80 / $237.41	Professional		$169.92	$214.80	$237.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $203.49 / $220.80 / $248.71	Facility		$203.49	$220.80	$248.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.50 / $225.97 / $391.15	Facility		$140.50	$225.97	$391.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $215.20 / $2,550,000.00	Professional		$108.53	$215.20	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $112.80 / $215.20	Professional		$106.18	$112.80	$215.20