Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.81 / $159.81 / $159.81	Facility		$159.81	$159.81	$159.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $64.00 / $275.66	Professional		$61.55	$64.00	$275.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $67.20 / $137.60	Facility		$64.00	$67.20	$137.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.02 / $117.02 / $117.02	Professional		$117.02	$117.02	$117.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.33 / $204.00 / $79,999.20	Facility		$80.33	$204.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $77.41 / $137.60	Facility		$64.00	$77.41	$137.60
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 $222.38 / $291.83 / $356.42	Facility		$222.38	$291.83	$356.42