Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Facility		$68.81	$68.81	$68.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $67.19 / $80.95	Professional		$64.76	$67.19	$80.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $137.62 / $137.62	Facility		$68.81	$137.62	$137.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81
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 $67.19 / $67.19 / $144.46	Facility		$67.19	$67.19	$144.46
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 $67.19 / $70.55 / $144.46	Facility		$67.19	$70.55	$144.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $2,400,000.00	Professional		$68.81	$68.81	$2,400,000.00