Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20,400.00 / $20,400.00 / $20,400.00	Professional		$20,400.00	$20,400.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $147.88 / $168.34	Professional		$122.92	$147.88	$168.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.13 / $131.55 / $197.78	Facility		$64.13	$131.55	$197.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.39 / $125.09 / $130.65	Facility		$78.39	$125.09	$130.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.13 / $137.37 / $2,400,000.00	Facility		$64.13	$137.37	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.63 / $2,250,000.00 / $2,400,000.00	Professional		$189.63	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $160.19 / $217.42	Professional		$129.16	$160.19	$217.42
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 $106.10 / $156.33 / $217.07	Professional		$106.10	$156.33	$217.07