Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.34 / $221.34 / $226.78	Facility		$221.34	$221.34	$226.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $184.38 / $208.14	Professional		$184.38	$184.38	$208.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $193.60 / $396.42	Facility		$184.38	$193.60	$396.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $75.87 / $75.87	Professional		$75.87	$75.87	$75.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $688.00 / $79,999.20	Facility		$270.91	$688.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $223.01 / $396.42	Facility		$184.38	$223.01	$396.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $328.25 / $788.50 / $2,470.51	Facility		$328.25	$788.50	$2,470.51