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 $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.68	Facility		$2.00	$2.00	$3.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $4.30	Facility		$2.00	$2.00	$4.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $2,250,000.00 / $2,400,000.00	Professional		$13.99	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $35.08 / $54.90	Professional		$23.39	$35.08	$54.90