Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $169.23 / $211.74	Professional		$78.38	$169.23	$211.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.27 / $403.05 / $481.71	Professional		$207.27	$403.05	$481.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.72 / $188.05 / $312.98	Facility		$117.72	$188.05	$312.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.77 / $196.91 / $217.63	Professional		$155.77	$196.91	$217.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.37 / $202.41 / $207.27	Facility		$185.37	$202.41	$207.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.72 / $194.95 / $358.58	Facility		$117.72	$194.95	$358.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $197.28 / $2,550,000.00	Professional		$91.11	$197.28	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $94.70 / $180.68	Professional		$89.14	$94.70	$180.68