Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $177.94 / $201.90	Professional		$89.98	$177.94	$201.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.92 / $462.86 / $553.20	Professional		$217.92	$462.86	$553.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.95 / $192.68 / $329.06	Facility		$118.95	$192.68	$329.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $172.49 / $228.82	Professional		$163.61	$172.49	$228.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.82 / $217.92 / $242.38	Facility		$212.82	$217.92	$242.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.77 / $207.43 / $377.00	Facility		$123.77	$207.43	$377.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $207.43 / $2,550,000.00	Professional		$104.60	$207.43	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.33 / $108.72 / $207.43	Professional		$101.33	$108.72	$207.43