Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $85.03 / $278.77	Professional		$85.03	$85.03	$278.77
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 $157.94 / $157.94 / $339.59	Facility		$157.94	$157.94	$339.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.04 / $79,999.20 / $79,999.20	Facility		$65.04	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $157.94 / $339.59	Facility		$157.94	$157.94	$339.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $276.48 / $446.36	Facility		$210.68	$276.48	$446.36
United Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $89.89 / $89.89	Professional		$89.89	$89.89	$89.89