Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
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 $20.00 / $20.00 / $43.00	Facility		$20.00	$20.00	$43.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $193.14 / $79,999.20	Facility		$193.14	$193.14	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $43.00	Facility		$20.00	$20.00	$43.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $2,250,000.00 / $2,400,000.00	Professional		$3.60	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50