Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $79.43 / $416.87	Facility		$11.22	$79.43	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $1.45 / $9.33	Professional		$0.28	$1.45	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.11 / $0.12	Facility		$0.05	$0.11	$0.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.72 / $0.85	Professional		$0.05	$0.72	$0.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $41.69 / $186.21	Facility		$0.06	$41.69	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.09 / $5.62	Professional		$0.05	$0.09	$5.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.06 / $0.11	Facility		$0.05	$0.06	$0.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.10 / $0.21	Facility		$0.05	$0.10	$0.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $79.43	Professional		$0.05	$0.06	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.06	Professional		$0.05	$0.05	$0.06