Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Facility		$18.39	$18.39	$18.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.95 / $21.63	Professional		$17.30	$17.95	$21.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $36.78 / $36.78	Facility		$18.39	$36.78	$36.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39
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 $17.95 / $17.95 / $38.59	Facility		$17.95	$17.95	$38.59
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 $17.95 / $18.85 / $38.59	Facility		$17.95	$18.85	$38.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $2,400,000.00	Professional		$18.39	$18.39	$2,400,000.00