Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.88 / $700.88 / $700.88	Facility		$700.88	$700.88	$700.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.25 / $855.25 / $1,124.07	Professional		$855.25	$855.25	$1,124.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $855.25 / $855.25 / $1,347.02	Facility		$855.25	$855.25	$1,347.02
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 $855.25 / $855.25 / $1,644,446.92	Facility		$855.25	$855.25	$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