Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $4.99 / $4.99	Facility		$4.99	$4.99	$4.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $4.50 / $5.55	Professional		$2.60	$4.50	$5.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $1.30	Professional		$1.30	$1.30	$1.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $13.40 / $15.93	Professional		$10.89	$13.40	$15.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $10.54 / $14.94	Facility		$5.55	$10.54	$14.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $11.94 / $11.94	Professional		$11.94	$11.94	$11.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $11.23 / $11.39	Facility		$9.35	$11.23	$11.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $11.60 / $15.30	Facility		$5.55	$11.60	$15.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $13.52 / $2,400,000.00	Professional		$1.30	$13.52	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $11.97 / $17.19	Professional		$11.86	$11.97	$17.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.68 / $6.14	Professional		$3.32	$3.68	$6.14