Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.59 / $33.11	Professional		$8.51	$12.59	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $208.93	Professional		$151.36	$173.78	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $12.59 / $19.05	Facility		$7.59	$12.59	$19.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $12.02 / $32.36	Professional		$6.46	$12.02	$32.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $12.59 / $16.22	Facility		$7.59	$12.59	$16.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $79.43	Professional		$7.76	$7.76	$79.43