Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.43 / $327.43 / $390.48	Professional		$327.43	$327.43	$390.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.31 / $310.31 / $310.31	Professional		$310.31	$310.31	$310.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $170.00 / $178.00	Professional		$150.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $327.43 / $327.43 / $515.70	Facility		$327.43	$327.43	$515.70
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 $327.43 / $327.43 / $703.97	Facility		$327.43	$327.43	$703.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.31 / $2,250,000.00 / $2,400,000.00	Professional		$310.31	$2,250,000.00	$2,400,000.00