Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.04 / $31.04 / $31.04	Facility		$31.04	$31.04	$31.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $37.15 / $37.15	Professional		$19.20	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $19.36	Professional		$19.36	$19.36	$19.36
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 $37.15 / $37.15 / $79.89	Facility		$37.15	$37.15	$79.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
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 $37.15 / $37.15 / $79.89	Facility		$37.15	$37.15	$79.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $2,250,000.00 / $2,400,000.00	Professional		$19.36	$2,250,000.00	$2,400,000.00