Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $14.48 / $14.48	Facility		$14.48	$14.48	$14.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $14.92	Professional		$12.86	$12.86	$14.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $21.44 / $24.76	Facility		$12.13	$21.44	$24.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $15.17	Professional		$12.86	$12.86	$15.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.49 / $43.54	Professional		$28.84	$35.49	$43.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $14.52 / $24.65	Facility		$12.86	$14.52	$24.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $13.63 / $16.07	Professional		$12.86	$13.63	$16.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $14.56 / $26.75	Facility		$12.86	$14.56	$26.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $15.80 / $27.65	Facility		$12.86	$15.80	$27.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $16.98 / $2,250,000.00	Professional		$12.86	$16.98	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $12.86 / $12.86	Professional		$12.22	$12.86	$12.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $14.79	Professional		$12.86	$12.86	$14.79