Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.24 / $444.24 / $444.24	Facility		$444.24	$444.24	$444.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.18 / $320.39 / $394.09	Professional		$253.18	$320.39	$394.09
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 $320.39 / $320.39 / $688.86	Facility		$320.39	$320.39	$688.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.25 / $79,999.20 / $79,999.20	Facility		$167.25	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $320.39 / $688.86	Facility		$320.39	$320.39	$688.86
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 $530.21 / $671.22 / $873.09	Facility		$530.21	$671.22	$873.09
United Facility/Professional Professional Modifier Low / Median / High Price $222.20 / $222.20 / $222.20	Professional		$222.20	$222.20	$222.20