Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.18 / $1,200.18 / $1,200.18	Facility		$1,200.18	$1,200.18	$1,200.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $757.00 / $963.21 / $1,017.10	Facility		$757.00	$963.21	$1,017.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $15.27 / $31.77	Facility		$12.27	$15.27	$31.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $761.84 / $2,497.21 / $3,913.99	Facility		$761.84	$2,497.21	$3,913.99