Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.95 / $15.60	Professional		$12.48	$12.95	$15.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $26.52 / $26.52	Facility		$13.26	$26.52	$26.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $30.83 / $411.27	Professional		$25.00	$30.83	$411.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $15.60 / $26.62	Facility		$12.95	$15.60	$26.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $25.76 / $744.37	Facility		$21.45	$25.76	$744.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $15.60 / $27.84	Facility		$12.95	$15.60	$27.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $16.25 / $2,250,000.00	Professional		$13.26	$16.25	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $14.95	Professional		$13.00	$13.00	$14.95