Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $60.26 / $199.53	Facility		$2.19	$60.26	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $1.38 / $5.89	Professional		$0.38	$1.38	$5.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.15 / $0.42	Facility		$0.11	$0.15	$0.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.13	Professional		$0.12	$0.12	$0.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.72 / $0.85	Professional		$0.12	$0.72	$0.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $12.59 / $144.54	Facility		$0.12	$12.59	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.13 / $3.02	Professional		$0.02	$0.13	$3.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.14 / $0.23	Facility		$0.11	$0.14	$0.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.17 / $0.42	Facility		$0.12	$0.17	$0.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $79.43	Professional		$0.13	$0.13	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.14	Professional		$0.12	$0.12	$0.14