Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.67 / $77.67 / $77.67	Facility		$77.67	$77.67	$77.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $21.03	Professional		$17.10	$17.10	$21.03
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 $17.10 / $17.10 / $36.77	Facility		$17.10	$17.10	$36.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $79,999.20 / $79,999.20	Facility		$58.09	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $77.67	Facility		$17.10	$17.10	$77.67
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 $146.22 / $195.97 / $266.24	Facility		$146.22	$195.97	$266.24