Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $486.22 / $486.22	Facility		$145.00	$486.22	$486.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $120.35 / $145.00	Professional		$116.00	$120.35	$145.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $80.54 / $80.54	Professional		$80.54	$80.54	$80.54
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 $120.35 / $120.35 / $258.75	Facility		$120.35	$120.35	$258.75
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 $120.35 / $124.70 / $258.75	Facility		$120.35	$124.70	$258.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00