Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $37.24	Facility		$18.62	$18.62	$37.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $15.45 / $18.62	Professional		$15.45	$15.45	$18.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $18.62 / $22.09	Facility		$15.45	$18.62	$22.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $17,150.38 / $18,772.80	Professional		$15.28	$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 $8.83 / $15.83 / $22.09	Facility		$8.83	$15.83	$22.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $8.83 / $12.90	Professional		$8.47	$8.83	$12.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $18.32 / $18.32	Professional		$18.32	$18.32	$18.32
United Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $18.50	Professional		$17.30	$17.30	$18.50