Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $4.25 / $8.50	Facility		$4.25	$4.25	$8.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $3.53 / $4.25	Professional		$3.53	$3.53	$4.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Facility		$7.50	$7.50	$7.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $4.07	Professional		$3.75	$3.75	$4.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $8.52 / $10.21	Professional		$3.83	$8.52	$10.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $5.05 / $10.79	Facility		$3.53	$5.05	$10.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $8.42 / $12.39	Professional		$4.34	$8.42	$12.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $7.50 / $2,400,000.00	Facility		$3.53	$7.50	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $6.47 / $10.19	Professional		$3.75	$6.47	$10.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.58 / $72.58 / $597.94	Facility		$72.58	$72.58	$597.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75