Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.76 / $332.76 / $332.76	Facility		$332.76	$332.76	$332.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $171.96 / $211.51	Professional		$134.90	$171.96	$211.51
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 $171.96 / $171.96 / $369.71	Facility		$171.96	$171.96	$369.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $215.21 / $79,999.20 / $79,999.20	Facility		$215.21	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $369.71	Facility		$171.96	$171.96	$369.71
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 $792.31 / $955.45 / $1,278.21	Facility		$792.31	$955.45	$1,278.21
United Facility/Professional Professional Modifier Low / Median / High Price $699.93 / $699.93 / $699.93	Professional		$699.93	$699.93	$699.93