Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $23.81 / $28.69	Professional		$22.95	$23.81	$28.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $48.78 / $48.78	Facility		$24.39	$48.78	$48.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $23.81 / $37.13	Facility		$16.91	$23.81	$37.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $16.91 / $16.91	Professional		$11.32	$16.91	$16.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $16.91 / $79,999.20	Facility		$16.91	$16.91	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $26.19 / $51.19	Facility		$16.91	$26.19	$51.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $35.85 / $2,250,000.00	Professional		$24.39	$35.85	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $32.99	Professional		$28.69	$28.69	$32.99