Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $18.70 / $24.43	Professional		$9.46	$18.70	$24.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $48.43 / $57.87	Professional		$22.91	$48.43	$57.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $22.86 / $34.59	Facility		$13.01	$22.86	$34.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $21.76 / $24.06	Professional		$17.22	$21.76	$24.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $22.37 / $25.20	Facility		$20.62	$22.37	$25.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $22.86 / $39.63	Facility		$13.01	$22.86	$39.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $21.80 / $2,550,000.00	Professional		$11.00	$21.80	$2,550,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $11.43 / $21.80	Professional		$10.88	$11.43	$21.80