Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $760.00	Facility		$30.54	$30.54	$760.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $30.54 / $42.00	Professional		$30.54	$30.54	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $48.56	Facility		$30.54	$30.54	$48.56
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 $30.54 / $30.54 / $54.60	Facility		$30.54	$30.54	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $1,800,000.00 / $2,400,000.00	Professional		$150.94	$1,800,000.00	$2,400,000.00