Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,159.84 / $2,159.84 / $2,159.84	Facility		$2,159.84	$2,159.84	$2,159.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $1,052.08 / $1,294.06	Professional		$687.10	$1,052.08	$1,294.06
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 $1,052.08 / $1,052.08 / $2,261.96	Facility		$1,052.08	$1,052.08	$2,261.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $518.19 / $79,999.20 / $79,999.20	Facility		$518.19	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $2,261.96	Facility		$1,052.08	$1,052.08	$2,261.96
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 $1,415.61 / $1,829.85 / $2,153.96	Facility		$1,415.61	$1,829.85	$2,153.96
United Facility/Professional Professional Modifier Low / Median / High Price $711.04 / $711.04 / $711.04	Professional		$711.04	$711.04	$711.04