Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,771.57 / $1,771.57 / $1,771.57	Facility		$1,771.57	$1,771.57	$1,771.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.15 / $585.04 / $719.60	Professional		$524.15	$585.04	$719.60
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 $585.04 / $585.04 / $1,257.83	Facility		$585.04	$585.04	$1,257.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $559.94 / $79,999.20 / $79,999.20	Facility		$559.94	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $1,771.57	Facility		$585.04	$585.04	$1,771.57
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 $1,682.24 / $2,198.27 / $2,617.42	Facility		$1,682.24	$2,198.27	$2,617.42
United Facility/Professional Professional Modifier Low / Median / High Price $683.77 / $683.77 / $683.77	Professional		$683.77	$683.77	$683.77