Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $10.61 / $10.61	Facility		$10.61	$10.61	$10.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $11.71	Professional		$10.09	$10.09	$11.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $16.86 / $24.26	Facility		$9.52	$16.86	$24.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $11.90	Professional		$10.09	$10.09	$11.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $26.09 / $34.27	Professional		$21.14	$26.09	$34.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.61 / $42.90	Facility		$10.09	$10.61	$42.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $11.60 / $13.12	Professional		$10.09	$11.60	$13.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.90 / $20.99	Facility		$10.09	$10.90	$20.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $12.11 / $42.90	Facility		$10.09	$12.11	$42.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $14.84 / $2,250,000.00	Professional		$10.09	$14.84	$2,250,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $10.09 / $10.09	Professional		$9.59	$10.09	$10.09
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $11.60	Professional		$10.09	$10.09	$11.60