Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.00 / $1,507.00 / $1,507.00	Facility		$1,507.00	$1,507.00	$1,507.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,509.26	Professional		$1,227.04	$1,227.04	$1,509.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,932.59	Facility		$1,227.04	$1,227.04	$1,932.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $1,938.00 / $79,999.20	Facility		$762.88	$1,938.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,644,446.92	Facility		$1,227.04	$1,227.04	$1,644,446.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,918.96 / $2,651.89 / $3,171.06	Facility		$1,918.96	$2,651.89	$3,171.06