Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.40 / $109.40 / $109.40	Facility		$109.40	$109.40	$109.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $106.19	Professional		$58.28	$58.28	$106.19
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 $58.28 / $58.28 / $125.30	Facility		$58.28	$58.28	$125.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $79,999.20 / $79,999.20	Facility		$133.36	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $125.30	Facility		$58.28	$58.28	$125.30
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 $392.27 / $523.55 / $591.72	Facility		$392.27	$523.55	$591.72
United Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $137.36 / $137.36	Professional		$137.36	$137.36	$137.36