Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.33 / $1,040.33 / $1,040.33	Facility		$1,040.33	$1,040.33	$1,040.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $248.71 / $305.91	Professional		$248.71	$248.71	$305.91
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 $248.71 / $248.71 / $534.73	Facility		$248.71	$248.71	$534.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $311.11 / $79,999.20 / $79,999.20	Facility		$311.11	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $248.71 / $1,040.33	Facility		$248.71	$248.71	$1,040.33
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 $981.00 / $1,323.95 / $1,796.43	Facility		$981.00	$1,323.95	$1,796.43
United Facility/Professional Professional Modifier Low / Median / High Price $699.93 / $699.93 / $699.93	Professional		$699.93	$699.93	$699.93