Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $12.68	Facility		$12.68	$12.68	$12.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $12.68 / $32.79	Professional		$6.00	$12.68	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $8.50	Professional		$8.50	$8.50	$8.50
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 $7.50 / $7.50 / $7.50	Facility		$7.50	$7.50	$7.50
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 $64.75 / $64.75 / $79,999.20	Facility		$64.75	$64.75	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $2,400,000.00 / $2,400,000.00	Facility		$7.50	$2,400,000.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $2,250,000.00 / $2,400,000.00	Professional		$8.50	$2,250,000.00	$2,400,000.00