Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $62.84 / $73.90	Professional		$31.78	$62.84	$73.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $36.94 / $36.94	Professional		$36.94	$36.94	$36.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $163.79 / $195.75	Professional		$76.95	$163.79	$195.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.71 / $76.08 / $116.21	Facility		$43.71	$76.08	$116.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $64.12 / $80.81	Professional		$57.78	$64.12	$80.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $76.95 / $92.79	Facility		$75.15	$76.95	$92.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.71 / $76.08 / $133.13	Facility		$43.71	$76.08	$133.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $73.25 / $2,550,000.00	Professional		$36.94	$73.25	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $38.39 / $73.25	Professional		$36.14	$38.39	$73.25