Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
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 $0.51 / $0.95 / $199.53	Facility		$0.51	$0.95	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Facility		$1.20	$1.20	$1.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Professional		$1.20	$1.20	$1.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $2.14 / $199.53	Facility		$0.51	$2.14	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $79.43	Professional		$6.46	$6.46	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02