Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $218.78	Professional		$77.62	$169.82	$218.78
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 $213.80 / $407.38 / $512.86	Professional		$213.80	$407.38	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $257.04	Facility		$134.90	$177.83	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $223.87	Professional		$154.88	$169.82	$223.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $204.17 / $208.93	Facility		$186.21	$204.17	$208.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $257.04	Facility		$128.82	$186.21	$257.04
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 $85.11 / $95.50 / $147.91	Professional		$85.11	$95.50	$147.91