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 $484.25 / $582.57 / $663.18	Professional		$484.25	$582.57	$663.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $499.36 / $750.78	Facility		$252.64	$499.36	$750.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.73 / $432.25 / $508.53	Facility		$301.73	$432.25	$508.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $521.46 / $2,400,000.00	Facility		$252.64	$521.46	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $717.51 / $2,250,000.00 / $2,400,000.00	Professional		$717.51	$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 $490.08 / $623.52 / $824.93	Professional		$490.08	$623.52	$824.93
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 $401.39 / $566.66 / $823.50	Professional		$401.39	$566.66	$823.50