Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Facility		$0.26	$0.26	$0.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.35 / $1.44	Professional		$0.26	$0.35	$1.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
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 $0.35 / $0.35 / $0.75	Facility		$0.35	$0.35	$0.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
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 $0.35 / $0.35 / $0.75	Facility		$0.35	$0.35	$0.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $1,800,000.00 / $2,400,000.00	Professional		$0.11	$1,800,000.00	$2,400,000.00