Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Facility		$17.29	$17.29	$17.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.88 / $20.34	Professional		$16.27	$16.88	$20.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $34.58 / $34.58	Facility		$17.29	$34.58	$34.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29
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 $16.88 / $16.88 / $36.29	Facility		$16.88	$16.88	$36.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $23.33 / $24.02	Professional		$20.16	$23.33	$24.02
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 $16.88 / $20.42 / $33.90	Facility		$16.88	$20.42	$33.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $21.19 / $21.19	Professional		$17.29	$21.19	$21.19