Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $9.43 / $825.60	Professional		$7.54	$9.43	$825.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $10.78 / $16.21	Facility		$7.54	$10.78	$16.21
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 $7.54 / $7.54 / $23.00	Facility		$7.54	$7.54	$23.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,550,000.00	Professional		$2,400,000.00	$2,400,000.00	$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