Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.00 / $23.44	Facility		$8.91	$10.00	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.33 / $10.00	Professional		$8.91	$9.33	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $17.78 / $18.62	Professional		$7.24	$17.78	$18.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $20.89	Facility		$5.25	$5.25	$20.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.62 / $10.00	Professional		$5.25	$5.62	$10.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $0.48 / $0.48	Facility		$0.48	$0.48	$0.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $9.77 / $13.80	Facility		$3.63	$9.77	$13.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $10.00 / $79.43	Professional		$2.51	$10.00	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77