Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.86 / $49.86 / $99.72	Facility		$49.86	$49.86	$99.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $49.86	Professional		$41.38	$41.38	$49.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $896.85 / $1,997.13 / $2,393.21	Professional		$896.85	$1,997.13	$2,393.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $59.17 / $2,455.14	Facility		$41.38	$59.17	$2,455.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $48.62 / $17,728.12	Professional		$48.62	$48.62	$17,728.12
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 $41.38 / $88.97 / $2,400,000.00	Facility		$41.38	$88.97	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,335.70 / $1,974.75 / $2,751.82	Professional		$1,335.70	$1,974.75	$2,751.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,725.53 / $2,899.71 / $3,890.84	Facility		$1,725.53	$2,899.71	$3,890.84
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28