Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.51 / $32.51 / $32.51	Facility		$32.51	$32.51	$32.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $32.79 / $38.29	Professional		$30.36	$32.79	$38.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $21.90 / $21.90	Professional		$21.90	$21.90	$21.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $22.49 / $22.49	Professional		$22.49	$22.49	$22.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.50 / $34.14 / $69.90	Facility		$30.50	$34.14	$69.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.24 / $37.04 / $79,999.20	Facility		$35.24	$37.04	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $34.61 / $69.90	Facility		$30.65	$34.61	$69.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $1,800,000.00 / $2,400,000.00	Professional		$21.90	$1,800,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $30.94 / $30.94	Professional		$30.94	$30.94	$30.94