Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.22 / $3,270.45 / $6,319.40	Facility		$318.22	$3,270.45	$6,319.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.22 / $318.22 / $5,707.27	Professional		$318.22	$318.22	$5,707.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.84 / $673.84 / $673.84	Professional		$673.84	$673.84	$673.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.22 / $318.22 / $684.17	Facility		$318.22	$318.22	$684.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,304.47 / $79,999.20 / $79,999.20	Facility		$1,304.47	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.22 / $318.22 / $2,400,000.00	Facility		$318.22	$318.22	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $673.84 / $2,250,000.00 / $2,400,000.00	Professional		$673.84	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,504.14 / $3,898.18 / $4,122.51	Facility		$3,504.14	$3,898.18	$4,122.51