Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $54.95	Professional		$48.98	$54.95	$54.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $72.44 / $109.65	Facility		$50.12	$72.44	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $54.95	Professional		$50.12	$54.95	$54.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $72.44 / $1,659,586.91	Facility		$50.12	$72.44	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $177.83	Facility		$107.15	$151.36	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $173.78 / $229.09	Facility		$141.25	$173.78	$229.09