Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.50 / $1,150.50 / $2,242.50	Facility		$1,072.50	$1,150.50	$2,242.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $63.14 / $73.31	Facility		$41.00	$63.14	$73.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $40.36 / $40.36	Professional		$40.36	$40.36	$40.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $72.00 / $93.05	Facility		$28.37	$72.00	$93.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $63.14 / $1,644,013.84	Facility		$41.00	$63.14	$1,644,013.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.29 / $111.47	Facility		$58.88	$85.29	$111.47