Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $9.99 / $9.99	Facility		$9.99	$9.99	$9.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $9.99 / $21.13	Professional		$4.98	$9.99	$21.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Facility		$18.70	$18.70	$18.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $25.50 / $31.49	Professional		$21.78	$25.50	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $11.77 / $23.87	Facility		$9.63	$11.77	$23.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $27.14 / $52.20	Professional		$22.97	$27.14	$52.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $22.46 / $22.78	Facility		$14.96	$22.46	$22.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $11.77 / $23.87	Facility		$9.93	$11.77	$23.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $2,250,000.00 / $2,400,000.00	Professional		$9.35	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $24.98 / $67.04	Facility		$13.34	$24.98	$67.04
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $7.36 / $11.52	Professional		$4.91	$7.36	$11.52