Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.83 / $190.83 / $190.83	Facility		$190.83	$190.83	$190.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $190.83 / $190.83	Professional		$190.83	$190.83	$190.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.83 / $190.83 / $190.83	Facility		$190.83	$190.83	$190.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Facility		$2,400,000.00	$2,400,000.00	$2,400,000.00
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 $61.51 / $326.83 / $354.17	Facility		$61.51	$326.83	$354.17