Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.34 / $2,422.46 / $2,908.44	Facility		$1,427.34	$2,422.46	$2,908.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $631.16	Professional		$5.81	$5.81	$631.16
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 $5.81 / $5.81 / $12.49	Facility		$5.81	$5.81	$12.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $665.81 / $79,999.20 / $79,999.20	Facility		$665.81	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $5.81 / $12.49	Facility		$5.81	$5.81	$12.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,918.67 / $2,257.26 / $2,695.31	Facility		$1,918.67	$2,257.26	$2,695.31