Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $98.33 / $1,120.00	Professional		$60.00	$98.33	$1,120.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.46 / $310.97 / $467.54	Facility		$217.46	$310.97	$467.54
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 $94.52 / $217.46 / $310.97	Facility		$94.52	$217.46	$310.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,550,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,550,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.47 / $509.18 / $639.41	Facility		$404.47	$509.18	$639.41
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12