Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $126.61 / $193.92	Facility		$80.06	$126.61	$193.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $98.47	Professional		$80.06	$80.06	$98.47
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 $80.06 / $80.06 / $172.13	Facility		$80.06	$80.06	$172.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.15 / $79,999.20 / $79,999.20	Facility		$69.15	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $80.06 / $172.13	Facility		$80.06	$80.06	$172.13
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 $187.95 / $257.64 / $355.69	Facility		$187.95	$257.64	$355.69
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29