Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $67.53 / $4,187.04	Professional		$0.50	$67.53	$4,187.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.21	Professional		$1.21	$1.21	$1.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $1.08	Facility		$0.50	$0.50	$1.08
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 $0.50 / $0.50 / $1.08	Facility		$0.50	$0.50	$1.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $2,250,000.00 / $2,400,000.00	Professional		$1.21	$2,250,000.00	$2,400,000.00