Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.69 / $3.38	Facility		$1.69	$1.69	$3.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $1.69	Professional		$1.40	$1.40	$1.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Facility		$2.88	$2.88	$2.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.44 / $1.44	Professional		$1.44	$1.44	$1.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.72 / $5.21	Professional		$4.09	$4.72	$5.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $2.00 / $4.98	Facility		$1.40	$2.00	$4.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $4.21 / $17,728.12	Professional		$1.39	$4.21	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.96 / $4.01	Facility		$3.30	$3.96	$4.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $2.00 / $4.98	Facility		$1.40	$2.00	$4.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $3.24 / $2,250,000.00	Professional		$1.44	$3.24	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.11	Professional		$0.09	$0.09	$0.11