Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $996.00 / $1,200.00	Professional		$960.00	$996.00	$1,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $2,040.00 / $2,040.00	Facility		$1,020.00	$2,040.00	$2,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
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 $996.00 / $1,200.00 / $1,553.26	Facility		$996.00	$1,200.00	$1,553.26
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 $996.00 / $1,200.00 / $2,141.40	Facility		$996.00	$1,200.00	$2,141.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,249.99 / $2,250,000.00	Professional		$1,020.00	$1,249.99	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.99 / $788.99 / $907.34	Professional		$788.99	$788.99	$907.34