Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.18 / $13.18	Facility		$12.02	$13.18	$13.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $13.18	Professional		$12.02	$12.02	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $26.30 / $26.30	Facility		$13.18	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $190.55	Professional		$22.91	$28.84	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $13.18 / $19.95	Facility		$12.88	$13.18	$19.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.88	Professional		$12.02	$12.02	$12.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.70 / $741.31	Facility		$21.38	$25.70	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.49 / $21.88	Facility		$12.88	$15.49	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $263.03	Professional		$13.18	$16.22	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88