Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $14.22 / $86.09	Facility		$14.01	$14.22	$86.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
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 $70.00 / $70.00 / $150.50	Facility		$70.00	$70.00	$150.50
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 $70.00 / $70.00 / $150.50	Facility		$70.00	$70.00	$150.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $69.56 / $2,400,000.00	Professional		$51.00	$69.56	$2,400,000.00