Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $157.00 / $157.00	Professional		$8.00	$157.00	$157.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
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 $157.00 / $157.00 / $337.55	Facility		$157.00	$157.00	$337.55
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 $157.00 / $157.00 / $337.55	Facility		$157.00	$157.00	$337.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $2,250,000.00 / $2,400,000.00	Professional		$24.99	$2,250,000.00	$2,400,000.00