Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $254.94 / $622.74	Professional		$17.60	$254.94	$622.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $15.08	Professional		$15.08	$15.08	$15.08
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 $254.94 / $254.94 / $548.12	Facility		$254.94	$254.94	$548.12
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 $254.94 / $254.94 / $548.12	Facility		$254.94	$254.94	$548.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00