Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Facility		$3.04	$3.04	$3.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $3.04 / $26.47	Professional		$0.07	$3.04	$26.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
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 $16.00 / $24.80 / $36.52	Facility		$16.00	$24.80	$36.52
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 $16.00 / $16.00 / $79,999.20	Facility		$16.00	$16.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $24.80 / $2,400,000.00	Facility		$16.00	$24.80	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $2,250,000.00 / $2,400,000.00	Professional		$8.32	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $31.26 / $47.81	Professional		$22.26	$31.26	$47.81