Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $15.84 / $15.84	Professional		$15.84	$15.84	$15.84
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 $35.00 / $35.00 / $64.40	Facility		$35.00	$35.00	$64.40
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 $35.00 / $35.00 / $75.25	Facility		$35.00	$35.00	$75.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.78 / $2,400,000.00	Professional		$1.70	$1.78	$2,400,000.00