Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $69.81 / $74.12	Professional		$32.32	$69.81	$74.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $37.57 / $37.57	Professional		$37.57	$37.57	$37.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $165.91 / $198.30	Professional		$85.50	$165.91	$198.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $74.06 / $129.11	Facility		$45.32	$74.06	$129.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $67.55 / $89.78	Professional		$64.20	$67.55	$89.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.50 / $85.50 / $94.05	Facility		$83.50	$85.50	$94.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.57 / $76.95 / $147.91	Facility		$48.57	$76.95	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $81.38 / $2,550,000.00	Professional		$37.57	$81.38	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $39.04 / $74.50	Professional		$36.76	$39.04	$74.50