Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,929.00 / $3,132.87 / $3,132.87	Facility		$2,929.00	$3,132.87	$3,132.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $137.47 / $2,929.00	Professional		$137.47	$137.47	$2,929.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
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 $137.47 / $137.47 / $295.56	Facility		$137.47	$137.47	$295.56
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 $137.47 / $137.47 / $295.56	Facility		$137.47	$137.47	$295.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $2,250,000.00 / $2,400,000.00	Professional		$165.00	$2,250,000.00	$2,400,000.00