Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Facility		$2.50	$2.50	$2.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Professional		$2.50	$2.50	$2.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $5.38	Facility		$2.50	$2.50	$5.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $5.38	Facility		$2.50	$2.50	$5.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $2,250,000.00 / $2,400,000.00	Professional		$3.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $23.16 / $23.16	Professional		$23.16	$23.16	$23.16