Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $231.75 / $1,110.57	Professional		$132.88	$231.75	$1,110.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $190.02 / $285.69	Facility		$132.88	$190.02	$285.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.63 / $131.00 / $238.03	Facility		$51.63	$131.00	$238.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $182.98 / $285.69	Facility		$132.88	$182.98	$285.69
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 $136.78 / $171.33 / $214.61	Facility		$136.78	$171.33	$214.61
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12