Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.08	Facility		$0.04	$0.04	$0.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $20.03 / $20.03	Professional		$20.03	$20.03	$20.03
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 $0.03 / $0.03 / $0.06	Facility		$0.03	$0.03	$0.06
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 $0.03 / $0.03 / $0.06	Facility		$0.03	$0.03	$0.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $2,250,000.00 / $2,400,000.00	Professional		$20.03	$2,250,000.00	$2,400,000.00