Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $96.10 / $180.00	Professional		$69.12	$96.10	$180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
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 $96.10 / $96.10 / $197.97	Facility		$96.10	$96.10	$197.97
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 $96.10 / $96.10 / $206.62	Facility		$96.10	$96.10	$206.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $2,250,000.00 / $2,400,000.00	Professional		$20.93	$2,250,000.00	$2,400,000.00