Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.86 / $280.86 / $280.86	Facility		$280.86	$280.86	$280.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.21 / $412.43 / $412.43	Professional		$224.21	$412.43	$412.43
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 $412.43 / $412.43 / $886.72	Facility		$412.43	$412.43	$886.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.63 / $79,999.20 / $79,999.20	Facility		$230.63	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $412.43 / $886.72	Facility		$412.43	$412.43	$886.72
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 $565.01 / $872.08 / $960.73	Facility		$565.01	$872.08	$960.73
United Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $174.73	Professional		$174.73	$174.73	$174.73