Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.77 / $1,060.57 / $1,060.57	Professional		$433.77	$1,060.57	$1,060.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Facility		$525.00	$525.00	$525.00
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 $1,060.57 / $1,060.57 / $1,951.45	Facility		$1,060.57	$1,060.57	$1,951.45
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 $1,060.57 / $1,060.57 / $2,280.23	Facility		$1,060.57	$1,060.57	$2,280.23
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