Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Facility		$4.12	$4.12	$4.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $4.12	Professional		$3.50	$3.50	$4.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.25 / $6.85	Facility		$5.00	$5.25	$6.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $5.33 / $79,999.20	Facility		$5.33	$5.33	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Professional		$5.33	$5.33	$5.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $5.00 / $6.85	Facility		$3.95	$5.00	$6.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.55 / $2,400,000.00	Professional		$3.50	$4.55	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $4.41 / $4.41	Professional		$2.20	$4.41	$4.41