Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $19,792.48 / $23,933.30	Facility		$5,116.62	$19,792.48	$23,933.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $688.00 / $846.24	Professional		$688.00	$688.00	$846.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $688.00 / $1,479.20	Facility		$688.00	$688.00	$1,479.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $861.72 / $1,479.20	Facility		$688.00	$861.72	$1,479.20
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 $49,823.41 / $53,991.92 / $72,420.84	Facility		$49,823.41	$53,991.92	$72,420.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $21,636.00 / $66,587.00	Facility		$2,364.00	$21,636.00	$66,587.00