Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.79 / $1,096.79 / $1,096.79	Facility		$1,096.79	$1,096.79	$1,096.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $229.63 / $497.70	Professional		$229.63	$229.63	$497.70
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 $229.63 / $229.63 / $493.70	Facility		$229.63	$229.63	$493.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.81 / $79,999.20 / $79,999.20	Facility		$250.81	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $229.63 / $1,096.79	Facility		$229.63	$229.63	$1,096.79
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 $984.65 / $1,145.70 / $2,004.43	Facility		$984.65	$1,145.70	$2,004.43
United Facility/Professional Professional Modifier Low / Median / High Price $711.04 / $711.04 / $711.04	Professional		$711.04	$711.04	$711.04