Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.02 / $7,920.26 / $20,400.00	Facility		$452.02	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $382.34	Professional		$367.50	$367.50	$382.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $790.13	Facility		$367.50	$367.50	$790.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.12 / $1,489.12 / $1,489.12	Professional		$1,489.12	$1,489.12	$1,489.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,428.87 / $3,418.26 / $8,682.00	Facility		$1,428.87	$3,418.26	$8,682.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $478.41 / $8,008.00	Facility		$367.50	$478.41	$8,008.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $827.11 / $827.11 / $827.11	Professional		$827.11	$827.11	$827.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00