Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $59.80 / $59.80	Professional		$49.80	$59.80	$59.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.80 / $62.48 / $128.57	Facility		$59.80	$62.48	$128.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.13 / $54.21 / $60.22	Facility		$36.13	$54.21	$60.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.80 / $62.48 / $128.57	Facility		$59.80	$62.48	$128.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $67.95 / $74.98	Professional		$56.24	$67.95	$74.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.48 / $125.30 / $153.24	Facility		$95.48	$125.30	$153.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $141.13 / $180.43	Professional		$87.72	$141.13	$180.43
United Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $114.00 / $196.88	Professional		$77.93	$114.00	$196.88