Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $252.64 / $252.64	Facility		$252.64	$252.64	$252.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $252.64 / $252.64	Professional		$252.64	$252.64	$252.64
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 $252.64 / $252.64 / $252.64	Facility		$252.64	$252.64	$252.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.33 / $79,999.20 / $79,999.20	Facility		$79.33	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $2,400,000.00 / $2,400,000.00	Facility		$252.64	$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 $216.30 / $283.86 / $329.89	Facility		$216.30	$283.86	$329.89