Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.72 / $1,151.72 / $1,151.72	Facility		$1,151.72	$1,151.72	$1,151.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $3,135.93	Professional		$1,726.72	$1,726.72	$3,135.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $3,135.93	Facility		$1,726.72	$1,726.72	$3,135.93
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 $1,726.72 / $1,726.72 / $1,644,446.92	Facility		$1,726.72	$1,726.72	$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