Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.93 / $302.93 / $302.93	Facility		$302.93	$302.93	$302.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $376.69 / $753.09	Professional		$176.74	$376.69	$753.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $538.66 / $809.88	Facility		$376.69	$538.66	$809.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65,790.61 / $65,790.61 / $65,790.61	Professional		$65,790.61	$65,790.61	$65,790.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $322.68 / $820.00 / $79,999.20	Facility		$322.68	$820.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $538.66 / $2,400,000.00	Facility		$376.69	$538.66	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $872.64 / $1,136.59 / $1,341.28	Facility		$872.64	$1,136.59	$1,341.28