Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $13,147.99 / $21,735.00	Facility		$3,107.00	$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 $542.27 / $652.37 / $742.64	Professional		$542.27	$652.37	$742.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $282.91 / $553.50 / $832.18	Facility		$282.91	$553.50	$832.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $336.47 / $548.73 / $4,921.00	Facility		$336.47	$548.73	$4,921.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $282.91 / $581.52 / $2,400,000.00	Facility		$282.91	$581.52	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $2,250,000.00 / $2,400,000.00	Professional		$795.00	$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 $543.89 / $687.60 / $915.52	Professional		$543.89	$687.60	$915.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.17 / $610.41 / $905.41	Professional		$462.17	$610.41	$905.41