Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.57 / $1.57	Facility		$1.57	$1.57	$1.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $1.57 / $10.93	Professional		$0.11	$1.57	$10.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
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 $24.00 / $37.20 / $54.79	Facility		$24.00	$37.20	$54.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $24.00 / $79,999.20	Facility		$24.00	$24.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $37.20 / $2,400,000.00	Facility		$24.00	$37.20	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $2,250,000.00 / $2,400,000.00	Professional		$10.60	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $47.59 / $75.34	Professional		$33.92	$47.59	$75.34