Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $2.20 / $4.40	Facility		$2.20	$2.20	$4.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.20	Professional		$1.83	$1.83	$2.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $2.62 / $3.93	Facility		$1.83	$2.62	$3.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $17,150.38 / $18,772.80	Professional		$14.54	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $1.87 / $79,999.20	Facility		$1.87	$1.87	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $2.62 / $2,400,000.00	Facility		$1.83	$2.62	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.97 / $0.97 / $0.97	Facility		$0.97	$0.97	$0.97
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.23	Professional		$1.86	$1.86	$2.23