Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.29 / $550.00 / $632.50	Professional		$517.29	$550.00	$632.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $517.29 / $1,112.20	Facility		$517.29	$517.29	$1,112.20
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 $517.29 / $517.29 / $1,112.20	Facility		$517.29	$517.29	$1,112.20
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