Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $26,570.91 / $49,993.45	Facility		$31.75	$26,570.91	$49,993.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $25.82 / $31.11	Professional		$24.89	$25.82	$31.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $62.22 / $62.22	Facility		$31.11	$62.22	$62.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $36.69	Professional		$31.11	$31.11	$36.69
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 $25.82 / $31.11 / $77.19	Facility		$25.82	$31.11	$77.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $66.70 / $66.70	Professional		$66.70	$66.70	$66.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $31.11 / $79,999.20	Facility		$31.11	$31.11	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $32.33 / $79.90	Facility		$25.82	$32.33	$79.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $39.69 / $2,400,000.00	Professional		$31.11	$39.69	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $33.29	Professional		$31.11	$31.11	$33.29