Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $8.22 / $28.80	Facility		$8.22	$8.22	$28.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.95 / $11.95	Professional		$8.22	$11.95	$11.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $19.89 / $23.83	Professional		$8.93	$19.89	$23.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $14.79 / $22.23	Facility		$10.34	$14.79	$22.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $15.00 / $17,728.12	Professional		$8.08	$15.00	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $15.25 / $2,400,000.00	Facility		$10.34	$15.25	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Professional		$19.67	$19.67	$19.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $28.88 / $38.74	Facility		$17.19	$28.88	$38.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $14.40 / $14.40	Professional		$14.40	$14.40	$14.40