Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $14.40 / $422.00	Professional		$14.40	$14.40	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,105.71 / $1,105.71 / $79,999.20	Facility		$1,105.71	$1,105.71	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,105.71 / $1,105.71 / $1,105.71	Professional		$1,105.71	$1,105.71	$1,105.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Facility		$2,400,000.00	$2,400,000.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $2,250,000.00 / $2,400,000.00	Professional		$5.25	$2,250,000.00	$2,400,000.00