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 $126.00 / $126.00 / $4,704.00	Professional		$126.00	$126.00	$4,704.00
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 $126.00 / $126.00 / $126.00	Facility		$126.00	$126.00	$126.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $143.90 / $151.96	Facility		$113.10	$143.90	$151.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $1,644,088.52	Facility		$126.00	$126.00	$1,644,088.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $160.24 / $388.68 / $584.75	Facility		$160.24	$388.68	$584.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.38 / $183.38 / $198.28	Professional		$183.38	$183.38	$198.28
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00