Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Facility		$177.26	$177.26	$177.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.83 / $173.09 / $208.54	Professional		$166.83	$173.09	$208.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $354.52 / $354.52	Facility		$177.26	$354.52	$354.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26
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 $173.09 / $173.09 / $372.14	Facility		$173.09	$173.09	$372.14
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 $173.09 / $181.74 / $372.14	Facility		$173.09	$181.74	$372.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $2,400,000.00	Professional		$177.26	$177.26	$2,400,000.00