Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.33 / $429.48 / $449.60	Professional		$410.33	$429.48	$449.60
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 $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
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 $429.48 / $429.48 / $676.43	Facility		$429.48	$429.48	$676.43
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 $429.48 / $429.48 / $923.38	Facility		$429.48	$429.48	$923.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $2,250,000.00 / $2,400,000.00	Professional		$88.76	$2,250,000.00	$2,400,000.00