Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $3.45 / $214.18	Facility		$2.81	$3.45	$214.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
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 $2.81 / $2.81 / $6.04	Facility		$2.81	$2.81	$6.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.29 / $55.29 / $79,999.20	Facility		$55.29	$55.29	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $55.29 / $55.29	Professional		$55.29	$55.29	$55.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $6.04	Facility		$2.81	$2.81	$6.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $1,800,000.00 / $2,400,000.00	Professional		$99.00	$1,800,000.00	$2,400,000.00