Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $130.08 / $130.79	Professional		$118.13	$130.08	$130.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17
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 $130.08 / $130.08 / $267.95	Facility		$130.08	$130.08	$267.95
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 $130.08 / $130.08 / $279.67	Facility		$130.08	$130.08	$279.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $2,250,000.00 / $2,400,000.00	Professional		$13.17	$2,250,000.00	$2,400,000.00