Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $1,500.00 / $1,765.00	Professional		$950.00	$1,500.00	$1,765.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $3,225.00	Facility		$1,500.00	$1,500.00	$3,225.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $18,772.80 / $32,908.48	Professional		$13,910.16	$18,772.80	$32,908.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $285.86 / $998.00 / $79,999.20	Facility		$285.86	$998.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $1,575.00 / $1,644,227.32	Facility		$1,500.00	$1,575.00	$1,644,227.32
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 $1,038.79 / $1,391.47 / $1,633.46	Facility		$1,038.79	$1,391.47	$1,633.46