Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $42.93 / $46.04	Professional		$21.71	$42.93	$46.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $25.24 / $25.24	Professional		$25.24	$25.24	$25.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $111.79 / $133.61	Professional		$52.58	$111.79	$133.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $50.37 / $79.40	Facility		$29.86	$50.37	$79.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $49.95 / $55.21	Professional		$39.47	$49.95	$55.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $52.58 / $61.99	Facility		$51.35	$52.58	$61.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $50.05 / $90.96	Facility		$29.86	$50.05	$90.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $50.05 / $2,550,000.00	Professional		$25.24	$50.05	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $26.23 / $50.05	Professional		$24.69	$26.23	$50.05