Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.25 / $291.25 / $291.25	Facility		$291.25	$291.25	$291.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $242.71 / $400.00	Professional		$242.71	$242.71	$400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
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 $242.71 / $242.71 / $521.83	Facility		$242.71	$242.71	$521.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $548.79 / $79,999.20 / $79,999.20	Facility		$548.79	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $242.71 / $521.83	Facility		$242.71	$242.71	$521.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $2,250,000.00 / $2,400,000.00	Professional		$116.04	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.07 / $1,190.03 / $2,156.23	Facility		$398.07	$1,190.03	$2,156.23