Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.81 / $749.38 / $1,000.00	Professional		$140.81	$749.38	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.44 / $548.78 / $793.77	Professional		$246.44	$548.78	$793.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.90 / $201.36 / $302.74	Facility		$107.90	$201.36	$302.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.22 / $85.18 / $141.96	Facility		$51.22	$85.18	$141.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.90 / $201.36 / $1,644,225.72	Facility		$107.90	$201.36	$1,644,225.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.13 / $201.13 / $691.49	Professional		$201.13	$201.13	$691.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $861.54 / $1,116.86 / $1,502.14	Facility		$861.54	$1,116.86	$1,502.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $619.52 / $619.52 / $619.52	Professional		$619.52	$619.52	$619.52
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $89.73 / $454.41	Professional		$58.21	$89.73	$454.41