Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.52 / $307.52 / $307.52	Facility		$307.52	$307.52	$307.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $307.52	Professional		$16.29	$16.29	$307.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $281.33	Professional		$281.33	$281.33	$281.33
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 $16.29 / $16.29 / $35.02	Facility		$16.29	$16.29	$35.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $216.72 / $79,999.20 / $79,999.20	Facility		$216.72	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $307.52	Facility		$16.29	$16.29	$307.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $2,250,000.00 / $2,400,000.00	Professional		$281.33	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $535.21 / $692.62 / $900.84	Facility		$535.21	$692.62	$900.84
United Facility/Professional Professional Modifier Low / Median / High Price $249.47 / $249.47 / $249.47	Professional		$249.47	$249.47	$249.47