Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $9.99 / $30.80	Facility		$9.99	$9.99	$30.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $12.78 / $12.78	Professional		$9.99	$12.78	$12.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Facility		$17.89	$17.89	$17.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $9.71	Professional		$8.94	$8.94	$9.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $24.14 / $28.94	Professional		$10.84	$24.14	$28.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $17.96 / $27.00	Facility		$12.56	$17.96	$27.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $23.88	Professional		$13.73	$13.73	$23.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $22.46 / $22.78	Facility		$18.70	$22.46	$22.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $17.96 / $2,400,000.00	Facility		$12.56	$17.96	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $18.32 / $28.90	Professional		$8.94	$18.32	$28.90
United Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $15.40 / $15.40	Professional		$15.40	$15.40	$15.40