Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $4.17 / $141.25	Facility		$2.04	$4.17	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.04 / $6.46	Professional		$2.00	$2.04	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.75 / $3.24	Facility		$1.95	$2.75	$3.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.24	Professional		$2.04	$2.04	$2.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $5.01 / $5.89	Professional		$2.04	$5.01	$5.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.19 / $2.69	Facility		$2.04	$2.19	$2.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.19 / $2.69	Professional		$2.04	$2.19	$2.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.95 / $4.90	Facility		$2.34	$2.95	$4.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.75 / $5.89	Facility		$2.04	$2.75	$5.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.24 / $79.43	Professional		$2.04	$2.24	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04