Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $41.44	Facility		$20.72	$20.72	$41.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $20.72	Professional		$17.20	$17.20	$20.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $24.60 / $36.97	Facility		$17.20	$24.60	$36.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $247.83 / $79,999.20 / $79,999.20	Facility		$247.83	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $24.60 / $2,400,000.00	Facility		$17.20	$24.60	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $2.10 / $247.83	Facility		$1.14	$2.10	$247.83
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72