Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $58.40	Professional		$30.75	$30.75	$58.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $63.91 / $76.59	Professional		$28.70	$63.91	$76.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $43.97 / $88.81	Facility		$30.75	$43.97	$88.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $35.93 / $50.56	Professional		$35.93	$35.93	$50.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $59.46 / $60.30	Facility		$49.50	$59.46	$60.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $53.00 / $600,000.00	Facility		$30.75	$53.00	$600,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $61.74 / $88.07	Professional		$37.04	$61.74	$88.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $97.66 / $117.62	Facility		$80.00	$97.66	$117.62
United Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $27.44 / $29.14	Professional		$24.28	$27.44	$29.14