Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,160.84 / $7,356.02 / $11,466.24	Facility		$5,160.84	$7,356.02	$11,466.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,160.84 / $5,160.84 / $5,160.84	Professional		$5,160.84	$5,160.84	$5,160.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.91 / $3,467.91 / $3,467.91	Professional		$3,467.91	$3,467.91	$3,467.91
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 $10,906.20 / $10,906.20 / $10,906.20	Facility		$10,906.20	$10,906.20	$10,906.20
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 $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Facility		$2,400,000.00	$2,400,000.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,467.91 / $3,467.91 / $2,400,000.00	Professional		$3,467.91	$3,467.91	$2,400,000.00