Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $39.81	Facility		$38.90	$38.90	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $39.81	Professional		$38.90	$38.90	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $85.11 / $102.33	Professional		$39.81	$85.11	$102.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $39.81 / $44.67	Facility		$37.15	$39.81	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $3,548.13 / $1,659,586.91	Facility		$104.71	$3,548.13	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $81.28	Professional		$33.88	$33.88	$81.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $158.49	Facility		$100.00	$125.89	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $177.83	Facility		$109.65	$134.90	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $100.00	Professional		$36.31	$50.12	$100.00