Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $271.85 / $297.50	Facility		$51.58	$271.85	$297.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Professional		$50.38	$50.38	$50.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $72.04 / $108.32	Facility		$50.38	$72.04	$108.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $148.00 / $79,999.20	Facility		$58.28	$148.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $1,644,033.60	Facility		$50.38	$50.38	$1,644,033.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,950,000.00 / $2,250,000.00 / $2,550,000.00	Professional		$1,950,000.00	$2,250,000.00	$2,550,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.06 / $169.68 / $229.07	Facility		$100.06	$169.68	$229.07