Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $122.47 / $334.40	Professional		$112.20	$122.47	$334.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $246.23 / $246.23 / $529.39	Facility		$246.23	$246.23	$529.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.74 / $413.00 / $687.88	Facility		$162.74	$413.00	$687.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $246.23 / $529.39	Facility		$130.00	$246.23	$529.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.47 / $509.18 / $639.41	Facility		$404.47	$509.18	$639.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $60.00 / $60.00	Professional		$57.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $122.50	Professional		$20.12	$20.12	$122.50