Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.24 / $566.24 / $566.24	Facility		$566.24	$566.24	$566.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.28 / $575.28 / $750.00	Professional		$575.28	$575.28	$750.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $604.04 / $788.13	Facility		$575.28	$604.04	$788.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,295.00 / $1,295.00 / $1,295.00	Facility		$1,295.00	$1,295.00	$1,295.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $604.04 / $2,850,000.00	Facility		$575.28	$604.04	$2,850,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00