Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.75 / $160.75 / $160.75	Facility		$160.75	$160.75	$160.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $88.00 / $89.28	Professional		$84.27	$88.00	$89.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $92.40 / $189.20	Facility		$88.00	$92.40	$189.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $194.49 / $194.49	Professional		$194.49	$194.49	$194.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.51 / $248.00 / $79,999.20	Facility		$97.51	$248.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $106.44 / $189.20	Facility		$88.00	$106.44	$189.20
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 $216.21 / $295.64 / $405.32	Facility		$216.21	$295.64	$405.32