Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $20.85 / $20.85	Facility		$20.85	$20.85	$20.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $23.17	Professional		$19.97	$19.97	$23.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $29.09 / $43.00	Facility		$18.84	$29.09	$43.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $23.55	Professional		$19.97	$19.97	$23.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $50.48 / $59.27	Professional		$41.01	$50.48	$59.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $20.85 / $42.74	Facility		$19.97	$20.85	$42.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $21.79 / $25.96	Professional		$19.97	$21.79	$25.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $20.85 / $41.54	Facility		$18.98	$20.85	$41.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $23.96 / $42.94	Facility		$19.97	$23.96	$42.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $24.71 / $2,250,000.00	Professional		$19.97	$24.71	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $19.97 / $19.97	Professional		$18.97	$19.97	$19.97
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $22.97	Professional		$19.97	$19.97	$22.97