Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $14.66	Facility		$14.66	$14.66	$14.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $14.66 / $18.03	Professional		$9.10	$14.66	$18.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $37.11 / $66.23	Professional		$23.35	$37.11	$66.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $14.66 / $23.62	Facility		$13.75	$14.66	$23.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59,999.40 / $59,999.40 / $59,999.40	Professional		$59,999.40	$59,999.40	$59,999.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $56.73 / $79,999.20	Facility		$34.04	$56.73	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $14.66 / $23.62	Facility		$12.38	$14.66	$23.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $1,800,000.00 / $2,400,000.00	Professional		$8.38	$1,800,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00