Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $57.54 / $63.10	Professional		$25.70	$57.54	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $173.78	Professional		$72.44	$138.04	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $60.26 / $74.13	Facility		$44.67	$60.26	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $75.86	Professional		$52.48	$56.23	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $70.79 / $72.44	Facility		$69.18	$70.79	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $74.13	Facility		$39.81	$61.66	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $69.18 / $2,570,395.78	Professional		$31.62	$69.18	$2,570,395.78
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $50.12	Professional		$28.84	$32.36	$50.12