Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,822.00 / $3,822.00 / $3,822.00	Facility		$3,822.00	$3,822.00	$3,822.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $1,197.74	Professional		$973.77	$973.77	$1,197.74
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 $973.77 / $973.77 / $2,093.61	Facility		$973.77	$973.77	$2,093.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
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 $973.77 / $973.77 / $3,822.00	Facility		$973.77	$973.77	$3,822.00
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 $7,525.89 / $7,525.89 / $7,525.89	Facility		$7,525.89	$7,525.89	$7,525.89