Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.75 / $1,046.84 / $1,991.13	Professional		$758.75	$1,046.84	$1,991.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $785.65 / $1,689.15	Facility		$475.00	$785.65	$1,689.15
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 $475.00 / $785.65 / $1,689.15	Facility		$475.00	$785.65	$1,689.15
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 $404.47 / $537.34 / $639.41	Facility		$404.47	$537.34	$639.41