Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $108.50 / $122.90	Professional		$51.69	$108.50	$122.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $60.08	Professional		$60.08	$60.08	$60.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.37 / $265.60 / $317.45	Professional		$140.37	$265.60	$317.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.43 / $126.00 / $211.96	Facility		$77.43	$126.00	$211.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $133.35 / $147.38	Professional		$105.51	$133.35	$147.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.23 / $137.08 / $140.37	Facility		$122.23	$137.08	$140.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.75 / $126.97 / $242.84	Facility		$79.75	$126.97	$242.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $133.61 / $2,550,000.00	Professional		$60.08	$133.61	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $62.45 / $119.14	Professional		$58.78	$62.45	$119.14