Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $42.66 / $54.95	Professional		$20.89	$42.66	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $141.25	Professional		$53.70	$112.20	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $45.71 / $64.57	Facility		$36.31	$45.71	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $56.23	Professional		$38.90	$42.66	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $52.48 / $61.66	Facility		$51.29	$52.48	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $48.98 / $66.07	Facility		$33.11	$48.98	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $51.29 / $2,570,395.78	Professional		$25.70	$51.29	$2,570,395.78
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.30 / $40.74	Professional		$23.44	$26.30	$40.74