Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $20.66 / $26.20	Professional		$10.45	$20.66	$26.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $12.15 / $12.15	Professional		$12.15	$12.15	$12.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $53.41 / $63.83	Professional		$25.31	$53.41	$63.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $22.96 / $38.22	Facility		$14.37	$22.96	$38.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.04 / $26.58	Professional		$19.00	$24.04	$26.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $24.71 / $27.84	Facility		$22.78	$24.71	$27.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $24.09 / $43.79	Facility		$14.37	$24.09	$43.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $24.09 / $2,550,000.00	Professional		$12.15	$24.09	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $12.62 / $24.09	Professional		$11.89	$12.62	$24.09