Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $25.02 / $25.02	Facility		$25.02	$25.02	$25.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $20.77 / $25.02	Professional		$20.02	$20.77	$25.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $42.54 / $42.54	Facility		$21.27	$42.54	$42.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
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 $20.77 / $25.02 / $32.39	Facility		$20.77	$25.02	$32.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $25.02 / $44.66	Facility		$20.77	$25.02	$44.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $2,400,000.00	Professional		$21.27	$21.27	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $24.70	Professional		$21.48	$21.48	$24.70