Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.68 / $369.68 / $8,802.04	Professional		$369.68	$369.68	$8,802.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $187.20	Professional		$187.20	$187.20	$187.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $369.68 / $794.81	Facility		$369.68	$369.68	$794.81
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 $369.68 / $369.68 / $794.81	Facility		$369.68	$369.68	$794.81
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