Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $27.54 / $87.10	Facility		$2.45	$27.54	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $1.32 / $3.89	Professional		$0.20	$1.32	$3.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.18 / $0.18	Facility		$0.10	$0.18	$0.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.72 / $0.85	Professional		$0.11	$0.72	$0.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $9.55 / $87.10	Facility		$0.11	$9.55	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $1.29 / $3.89	Professional		$0.12	$1.29	$3.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.11 / $0.20	Facility		$0.09	$0.11	$0.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.18 / $0.33	Facility		$0.11	$0.18	$0.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $79.43	Professional		$0.11	$0.12	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11