Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.03 / $1,646.03 / $1,646.03	Facility		$1,646.03	$1,646.03	$1,646.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.62 / $588.62 / $1,646.03	Professional		$588.62	$588.62	$1,646.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.33 / $781.33 / $781.33	Professional		$781.33	$781.33	$781.33
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 $588.62 / $588.62 / $1,265.53	Facility		$588.62	$588.62	$1,265.53
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 $588.62 / $588.62 / $1,265.53	Facility		$588.62	$588.62	$1,265.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $781.33 / $2,250,000.00 / $2,400,000.00	Professional		$781.33	$2,250,000.00	$2,400,000.00