Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $87.65 / $87.65	Facility		$87.65	$87.65	$87.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00
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 $700.00 / $700.00 / $1,505.00	Facility		$700.00	$700.00	$1,505.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $79,999.20 / $79,999.20	Facility		$31.24	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $1,505.00	Facility		$700.00	$700.00	$1,505.00
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 $119.31 / $217.24 / $261.38	Facility		$119.31	$217.24	$261.38