Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $129.41 / $258.83	Facility		$129.41	$129.41	$258.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $107.42 / $129.41	Professional		$107.42	$107.42	$129.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $215.91 / $258.72	Professional		$96.96	$215.91	$258.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $153.61 / $265.60	Facility		$107.42	$153.61	$265.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.81 / $13,910.16 / $18,772.80	Professional		$134.81	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $214.17 / $2,400,000.00	Facility		$107.42	$214.17	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.40 / $213.49 / $297.49	Professional		$144.40	$213.49	$297.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.54 / $304.10 / $397.26	Facility		$186.54	$304.10	$397.26
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Professional		$129.41	$129.41	$129.41