Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.04 / $356.04 / $356.04	Facility		$356.04	$356.04	$356.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $540.96 / $876.05	Professional		$540.96	$540.96	$876.05
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 $542.08 / $542.08 / $1,165.47	Facility		$542.08	$542.08	$1,165.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $492.70 / $79,999.20 / $79,999.20	Facility		$492.70	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.08 / $542.08 / $1,165.47	Facility		$542.08	$542.08	$1,165.47
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 $681.09 / $1,072.06 / $1,935.82	Facility		$681.09	$1,072.06	$1,935.82
United Facility/Professional Professional Modifier Low / Median / High Price $747.40 / $747.40 / $747.40	Professional		$747.40	$747.40	$747.40