Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.67 / $330.67 / $330.67	Professional		$330.67	$330.67	$330.67
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 $148.83 / $236.00 / $378.00	Facility		$148.83	$236.00	$378.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,088.52 / $1,644,088.52 / $1,644,088.52	Facility		$1,644,088.52	$1,644,088.52	$1,644,088.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $520.64 / $618.64	Facility		$389.95	$520.64	$618.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $183.38 / $198.28	Professional		$124.88	$183.38	$198.28
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00