Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Facility		$182.24	$182.24	$182.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $177.95 / $214.40	Professional		$171.52	$177.95	$214.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $364.48 / $364.48	Facility		$182.24	$364.48	$364.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Professional		$182.24	$182.24	$182.24
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 $177.95 / $177.95 / $382.59	Facility		$177.95	$177.95	$382.59
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 $177.95 / $186.85 / $382.59	Facility		$177.95	$186.85	$382.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $2,400,000.00	Professional		$182.24	$182.24	$2,400,000.00