Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $9.60	Facility		$9.60	$9.60	$9.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $9.60	Professional		$9.60	$9.60	$9.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $9.60	Facility		$9.60	$9.60	$9.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $12.00 / $79,999.20	Facility		$4.69	$12.00	$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 $12.79 / $16.79 / $19.48	Facility		$12.79	$16.79	$19.48
United Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $14.26 / $17.62	Facility		$14.26	$14.26	$17.62