Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $90.06	Professional		$79.00	$79.00	$90.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $112.97 / $169.85	Facility		$79.00	$112.97	$169.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.46 / $343.81 / $661.18	Professional		$170.46	$343.81	$661.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $344.44	Facility		$25.00	$25.00	$344.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $112.97 / $600,000.00	Facility		$79.00	$112.97	$600,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $196.54 / $412.05 / $839.10	Facility		$196.54	$412.05	$839.10
United Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $235.13 / $235.13	Professional		$195.94	$235.13	$235.13