Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.18 / $0.18	Facility		$0.15	$0.18	$0.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $0.15	Professional		$0.14	$0.15	$0.15
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 $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 $0.22 / $0.24 / $79,999.20	Facility		$0.22	$0.24	$79,999.20
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 / $0.16 / $0.32	Facility		$0.15	$0.16	$0.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.18 / $2,400,000.00	Professional		$0.16	$0.18	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $5.38 / $5.38	Professional		$5.38	$5.38	$5.38