Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $55.54 / $69.98	Professional		$50.49	$55.54	$69.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $72.20 / $108.55	Facility		$50.49	$72.20	$108.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $20.97 / $72.00	Facility		$20.97	$20.97	$72.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $72.20 / $1,644,026.08	Facility		$50.49	$72.20	$1,644,026.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $144.78 / $177.83	Facility		$107.42	$144.78	$177.83