Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $10.32 / $12.16	Professional		$5.08	$10.32	$12.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $5.91 / $5.91	Professional		$5.91	$5.91	$5.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $26.35 / $31.90	Professional		$14.74	$26.35	$31.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.77 / $22.26	Facility		$6.76	$12.77	$22.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $14.00 / $15.48	Professional		$11.09	$14.00	$15.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $14.39 / $14.74	Facility		$12.31	$14.39	$14.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $13.38 / $23.80	Facility		$8.38	$13.38	$23.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $14.03 / $2,550,000.00	Professional		$5.91	$14.03	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $6.15 / $11.73	Professional		$5.79	$6.15	$11.73