Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
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 $4.00 / $4.00 / $7.36	Facility		$4.00	$4.00	$7.36
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 $4.00 / $4.00 / $8.60	Facility		$4.00	$4.00	$8.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $2,250,000.00 / $2,400,000.00	Professional		$3.24	$2,250,000.00	$2,400,000.00