Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $173.17 / $185.71	Professional		$87.57	$173.17	$185.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.08 / $450.76 / $538.72	Professional		$212.08	$450.76	$538.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $200.86 / $320.24	Facility		$120.45	$200.86	$320.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $170.84 / $222.68	Professional		$159.38	$170.84	$222.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.48 / $207.11 / $233.29	Facility		$201.48	$207.11	$233.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.62 / $211.95 / $366.90	Facility		$134.62	$211.95	$366.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $201.87 / $2,550,000.00	Professional		$101.80	$201.87	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $105.81 / $201.87	Professional		$97.82	$105.81	$201.87