Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $4.25 / $379.06	Facility		$4.25	$4.25	$379.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.46 / $557.04	Professional		$3.46	$3.46	$557.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $217.98 / $217.98	Professional		$217.98	$217.98	$217.98
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 $3.46 / $3.46 / $7.44	Facility		$3.46	$3.46	$7.44
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 $3.46 / $3.46 / $7.44	Facility		$3.46	$3.46	$7.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $2,250,000.00 / $2,400,000.00	Professional		$217.98	$2,250,000.00	$2,400,000.00