Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.74 / $508.74 / $508.74	Facility		$508.74	$508.74	$508.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $146.74 / $192.67	Professional		$146.74	$146.74	$192.67
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 $146.74 / $146.74 / $315.49	Facility		$146.74	$146.74	$315.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.99 / $79,999.20 / $79,999.20	Facility		$91.99	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $508.74	Facility		$146.74	$146.74	$508.74
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 $320.93 / $397.08 / $634.19	Facility		$320.93	$397.08	$634.19
United Facility/Professional Professional Modifier Low / Median / High Price $249.47 / $249.47 / $249.47	Professional		$249.47	$249.47	$249.47