Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.19 / $347.19 / $347.19	Facility		$347.19	$347.19	$347.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $175.28 / $215.59	Professional		$99.12	$175.28	$215.59
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 $175.28 / $175.28 / $376.85	Facility		$175.28	$175.28	$376.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $79,999.20 / $79,999.20	Facility		$130.88	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $175.28 / $376.85	Facility		$175.28	$175.28	$376.85
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 $356.13 / $468.59 / $613.29	Facility		$356.13	$468.59	$613.29
United Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $127.26 / $127.26	Professional		$127.26	$127.26	$127.26