Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $218.57 / $248.00	Professional		$110.53	$218.57	$248.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.69 / $568.24 / $679.15	Professional		$267.69	$568.24	$679.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.03 / $264.91 / $404.21	Facility		$152.03	$264.91	$404.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.97 / $212.66 / $281.07	Professional		$200.97	$212.66	$281.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $261.42 / $267.69 / $294.45	Facility		$261.42	$267.69	$294.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.03 / $254.79 / $463.10	Facility		$152.03	$254.79	$463.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $254.79 / $2,550,000.00	Professional		$128.49	$254.79	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $133.55 / $254.79	Professional		$124.46	$133.55	$254.79