Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.97 / $333.97 / $333.97	Facility		$333.97	$333.97	$333.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $620.86	Professional		$308.72	$308.72	$620.86
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 $455.42 / $455.42 / $979.15	Facility		$455.42	$455.42	$979.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $321.86 / $79,999.20 / $79,999.20	Facility		$321.86	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.42 / $455.42 / $979.15	Facility		$455.42	$455.42	$979.15
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 $911.04 / $1,219.76 / $1,419.53	Facility		$911.04	$1,219.76	$1,419.53
United Facility/Professional Professional Modifier Low / Median / High Price $636.29 / $636.29 / $636.29	Professional		$636.29	$636.29	$636.29