Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.34 / $212.34 / $212.34	Facility		$212.34	$212.34	$212.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $212.34 / $212.34	Professional		$212.34	$212.34	$212.34
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 $212.34 / $212.34 / $212.34	Facility		$212.34	$212.34	$212.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.66 / $79,999.20 / $79,999.20	Facility		$309.66	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.34 / $2,400,000.00 / $2,400,000.00	Facility		$212.34	$2,400,000.00	$2,400,000.00
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 $177.94 / $233.52 / $1,216.65	Facility		$177.94	$233.52	$1,216.65