Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $17.38 / $17.38	Facility		$15.85	$17.38	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $17.38	Professional		$15.85	$15.85	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $34.67 / $34.67	Facility		$17.38	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $208.93	Professional		$151.36	$173.78	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $17.38 / $25.12	Facility		$16.60	$17.38	$25.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.98 / $23.44	Professional		$15.85	$16.98	$23.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $17.38 / $26.30	Facility		$16.22	$17.38	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.42 / $79.43	Professional		$17.38	$20.42	$79.43