Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Facility		$35.92	$35.92	$35.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $27.73 / $32.04	Professional		$21.02	$27.73	$32.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $29.12 / $59.62	Facility		$27.73	$29.12	$59.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $64.06 / $64.06	Professional		$64.06	$64.06	$64.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.95 / $89.00 / $79,999.20	Facility		$34.95	$89.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $33.54 / $59.62	Facility		$27.73	$33.54	$59.62
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 $96.32 / $126.41 / $147.24	Facility		$96.32	$126.41	$147.24