Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $29.74 / $29.74	Facility		$29.74	$29.74	$29.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $29.74 / $37.17	Professional		$29.74	$29.74	$37.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.98 / $872.98 / $872.98	Professional		$872.98	$872.98	$872.98
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 $29.74 / $29.74 / $63.94	Facility		$29.74	$29.74	$63.94
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 $29.74 / $29.74 / $63.94	Facility		$29.74	$29.74	$63.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.98 / $872.98 / $2,400,000.00	Professional		$872.98	$872.98	$2,400,000.00