Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $53.24 / $53.24	Facility		$53.24	$53.24	$53.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.36	Professional		$0.36	$0.36	$0.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.38 / $0.77	Facility		$0.36	$0.38	$0.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $34.29 / $34.29	Professional		$34.29	$34.29	$34.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $137.00 / $79,999.20	Facility		$54.05	$137.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.44 / $0.77	Facility		$0.36	$0.44	$0.77
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 $91.27 / $157.96 / $212.36	Facility		$91.27	$157.96	$212.36