Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.81 / $49.81 / $49.81	Facility		$49.81	$49.81	$49.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $51.12 / $604.41	Professional		$51.12	$51.12	$604.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $51.12 / $109.91	Facility		$51.12	$51.12	$109.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $50.62 / $50.62	Professional		$50.62	$50.62	$50.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.13 / $150.00 / $79,999.20	Facility		$59.13	$150.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $61.83 / $109.91	Facility		$51.12	$61.83	$109.91
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 $100.38 / $174.66 / $232.93	Facility		$100.38	$174.66	$232.93