Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $270.00 / $1,120.00	Professional		$216.00	$270.00	$1,120.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $273.45 / $391.03 / $587.91	Facility		$273.45	$391.03	$587.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.74 / $413.00 / $1,147.18	Facility		$162.74	$413.00	$1,147.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.79 / $273.45 / $587.91	Facility		$104.79	$273.45	$587.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,400,000.00	$2,400,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $654.51 / $928.62 / $1,183.75	Facility		$654.51	$928.62	$1,183.75
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12