Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $25.94 / $25.94	Facility		$25.94	$25.94	$25.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $10.77 / $12.92	Professional		$10.77	$10.77	$12.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $8.90	Professional		$8.19	$8.19	$8.90
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 $10.77 / $12.97 / $14.27	Facility		$10.77	$12.97	$14.27
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 $10.77 / $12.97 / $20.05	Facility		$10.77	$12.97	$20.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $2,250,000.00 / $2,400,000.00	Professional		$8.19	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $12.97 / $12.97	Professional		$12.97	$12.97	$12.97