Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Facility		$7.50	$7.50	$7.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Professional		$7.50	$7.50	$7.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
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 $7.50 / $7.50 / $16.13	Facility		$7.50	$7.50	$16.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $5.58 / $79,999.20	Facility		$5.58	$5.58	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $5.58 / $5.58	Professional		$5.58	$5.58	$5.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $16.13	Facility		$7.50	$7.50	$16.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $2,250,000.00 / $2,400,000.00	Professional		$4.37	$2,250,000.00	$2,400,000.00