Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.14 / $661.44 / $1,012.40	Facility		$338.14	$661.44	$1,012.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $293.39 / $432.16	Professional		$264.64	$293.39	$432.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
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 $293.39 / $293.39 / $630.80	Facility		$293.39	$293.39	$630.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $252.48 / $79,999.20 / $79,999.20	Facility		$252.48	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.39 / $293.39 / $630.80	Facility		$293.39	$293.39	$630.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $2,250,000.00 / $2,400,000.00	Professional		$147.34	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $706.85 / $927.65 / $1,085.57	Facility		$706.85	$927.65	$1,085.57
United Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $242.40 / $242.40	Professional		$242.40	$242.40	$242.40