Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $38.59 / $38.59	Professional		$34.65	$38.59	$38.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $125.40 / $125.40	Professional		$125.40	$125.40	$125.40
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 $47.74 / $47.74 / $47.74	Facility		$47.74	$47.74	$47.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.74 / $2,400,000.00 / $2,400,000.00	Facility		$47.74	$2,400,000.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $125.40 / $2,400,000.00	Professional		$125.40	$125.40	$2,400,000.00