Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Facility		$112.05	$112.05	$112.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $109.41 / $131.82	Professional		$105.46	$109.41	$131.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $224.10 / $224.10	Facility		$112.05	$224.10	$224.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Professional		$112.05	$112.05	$112.05
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 $109.41 / $109.41 / $235.23	Facility		$109.41	$109.41	$235.23
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 $109.41 / $114.88 / $235.23	Facility		$109.41	$114.88	$235.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $112.05 / $2,400,000.00	Professional		$112.05	$112.05	$2,400,000.00