Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
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 $0.15 / $0.15 / $0.32	Facility		$0.15	$0.15	$0.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $79,999.20	Facility		$0.20	$0.20	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.32	Facility		$0.15	$0.15	$0.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $2,250,000.00 / $2,400,000.00	Professional		$0.28	$2,250,000.00	$2,400,000.00