Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $12.86	Professional		$10.73	$10.73	$12.86
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 $57.67 / $57.67 / $123.99	Facility		$57.67	$57.67	$123.99
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 $57.67 / $57.67 / $123.99	Facility		$57.67	$57.67	$123.99
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
United Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $104.86	Professional		$62.92	$62.92	$104.86