Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $13,147.99 / $21,735.00	Facility		$5,116.62	$13,147.99	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,392.00 / $13,496.00 / $20,400.00	Professional		$13,392.00	$13,496.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.47 / $424.04 / $482.71	Professional		$352.47	$424.04	$482.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.89 / $352.38 / $529.79	Facility		$183.89	$352.38	$529.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.63 / $313.79 / $369.17	Facility		$219.63	$313.79	$369.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.89 / $378.18 / $2,400,000.00	Facility		$183.89	$378.18	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $504.17 / $2,250,000.00 / $2,400,000.00	Professional		$504.17	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,070.38 / $10,109.35 / $12,905.43	Facility		$8,070.38	$10,109.35	$12,905.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $349.51 / $452.10 / $588.32	Professional		$349.51	$452.10	$588.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.58 / $387.12 / $581.85	Professional		$287.58	$387.12	$581.85