Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $150.69 / $161.61	Professional		$74.63	$150.69	$161.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $86.76	Professional		$86.76	$86.76	$86.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.57 / $383.82 / $458.74	Professional		$184.57	$383.82	$458.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.82 / $176.67 / $278.70	Facility		$104.82	$176.67	$278.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.55 / $146.62 / $193.80	Professional		$138.55	$146.62	$193.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.50 / $180.24 / $184.57	Facility		$176.50	$180.24	$184.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.82 / $175.67 / $319.31	Facility		$104.82	$175.67	$319.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $175.67 / $2,550,000.00	Professional		$86.76	$175.67	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $90.17 / $172.03	Professional		$84.87	$90.17	$172.03