Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.34 / $5,116.62 / $20,400.00	Facility		$1,383.34	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.61 / $655.61 / $1,240.00	Professional		$655.61	$655.61	$1,240.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $688.39 / $1,409.56	Facility		$655.61	$688.39	$1,409.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $540.47 / $540.47 / $540.47	Professional		$540.47	$540.47	$540.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $993.22 / $3,691.00 / $79,999.20	Facility		$993.22	$3,691.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $792.96 / $1,644,837.92	Facility		$655.61	$792.96	$1,644,837.92
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 $3,539.74 / $4,743.41 / $5,709.03	Facility		$3,539.74	$4,743.41	$5,709.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00