Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.50 / $51.15	Professional		$10.00	$13.50	$51.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $8.96 / $8.96	Professional		$8.96	$8.96	$8.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $17,150.38 / $18,772.80	Professional		$83.64	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $79,999.20	Facility		$64.75	$64.75	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $2,400,000.00 / $2,400,000.00	Facility		$15.00	$2,400,000.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $2,250,000.00 / $2,400,000.00	Professional		$8.96	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $30.38 / $30.38	Professional		$30.38	$30.38	$30.38