Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $61.94 / $65.76	Professional		$28.66	$61.94	$65.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $33.32	Professional		$33.32	$33.32	$33.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.40 / $176.16	Professional		$75.86	$147.40	$176.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.21 / $65.70 / $114.55	Facility		$40.21	$65.70	$114.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $59.92 / $79.65	Professional		$56.94	$59.92	$79.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.08 / $75.86 / $78.55	Facility		$74.08	$75.86	$78.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.08 / $68.27 / $131.24	Facility		$43.08	$68.27	$131.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $72.20 / $2,550,000.00	Professional		$33.32	$72.20	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $34.63 / $66.06	Professional		$32.96	$34.63	$66.06