Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.15 / $5,116.62 / $20,400.00	Facility		$798.15	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $287.56 / $287.56	Professional		$287.56	$287.56	$287.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $301.94 / $618.25	Facility		$287.56	$301.94	$618.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.55 / $380.55 / $380.55	Professional		$380.55	$380.55	$380.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $698.07 / $2,212.00 / $79,999.20	Facility		$698.07	$2,212.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $347.80 / $1,644,515.72	Facility		$287.56	$347.80	$1,644,515.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,839.75 / $3,421.41	Facility		$2,153.07	$2,839.75	$3,421.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00