Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $122.42 / $291.86	Professional		$99.10	$122.42	$291.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $170.00 / $178.00	Professional		$150.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $122.42 / $252.19	Facility		$122.42	$122.42	$252.19
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 $122.42 / $122.42 / $263.20	Facility		$122.42	$122.42	$263.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $2,250,000.00 / $2,400,000.00	Professional		$9.85	$2,250,000.00	$2,400,000.00