Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $25.90	Facility		$25.90	$25.90	$25.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $25.90	Professional		$0.12	$0.12	$25.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $11.01 / $11.01	Professional		$11.01	$11.01	$11.01
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 $0.12 / $0.12 / $0.26	Facility		$0.12	$0.12	$0.26
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 $0.12 / $0.12 / $0.26	Facility		$0.12	$0.12	$0.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00