Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $6.03 / $10.00	Facility		$4.17	$6.03	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $5.37	Professional		$3.98	$3.98	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $6.03 / $8.32	Facility		$3.98	$6.03	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.57	Professional		$4.17	$4.17	$4.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $8.71 / $10.23	Professional		$3.98	$8.71	$10.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.47 / $5.25	Facility		$4.17	$4.47	$5.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $4.47 / $5.25	Professional		$1.41	$4.47	$5.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $5.25 / $8.71	Facility		$4.17	$5.25	$8.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $6.03 / $12.59	Facility		$4.17	$6.03	$12.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.57 / $79.43	Professional		$4.17	$4.57	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17