Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.28 / $451.62 / $3,100.23	Facility		$152.28	$451.62	$3,100.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $118.61 / $824.25	Professional		$118.61	$118.61	$824.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
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 $118.61 / $118.61 / $255.01	Facility		$118.61	$118.61	$255.01
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 $118.61 / $118.61 / $255.01	Facility		$118.61	$118.61	$255.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $2,250,000.00 / $2,400,000.00	Professional		$14.23	$2,250,000.00	$2,400,000.00