Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $46.77 / $70.79	Professional		$0.63	$46.77	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.30	Professional		$0.30	$0.30	$0.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $208.93	Professional		$151.36	$173.78	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.23	Facility		$0.15	$0.15	$0.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.76 / $70.79	Professional		$0.63	$0.76	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Facility		$0.24	$0.24	$0.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.25	Facility		$0.15	$0.15	$0.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.30 / $79.43	Professional		$0.16	$0.30	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37