Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Facility		$1.25	$1.25	$1.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.06 / $0.06	Facility		$0.03	$0.06	$0.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
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 $0.02 / $0.03 / $0.03	Facility		$0.02	$0.03	$0.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $79,999.20	Facility		$0.02	$0.02	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.09	Facility		$0.02	$0.03	$0.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.08 / $2,250,000.00	Professional		$0.03	$0.08	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03