Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $3,613.14	Facility		$0.23	$0.23	$3,613.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $289.60 / $310.39	Professional		$0.23	$289.60	$310.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $2.87	Professional		$2.87	$2.87	$2.87
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 $168.75 / $168.75 / $609.19	Facility		$168.75	$168.75	$609.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $79,999.20	Facility		$240.50	$240.50	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $240.50 / $240.50	Professional		$240.50	$240.50	$240.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,700,000.00	Facility		$2,400,000.00	$2,400,000.00	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2,250,000.00 / $2,400,000.00	Professional		$2.87	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $12.77 / $12.77	Professional		$12.77	$12.77	$12.77