Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.92 / $22.80	Professional		$18.23	$18.92	$22.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $38.76 / $38.76	Facility		$19.38	$38.76	$38.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
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 $18.92 / $18.92 / $40.68	Facility		$18.92	$18.92	$40.68
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 $18.92 / $19.87 / $40.68	Facility		$18.92	$19.87	$40.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $2,250,000.00 / $2,400,000.00	Professional		$19.38	$2,250,000.00	$2,400,000.00