Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $4,677.35 / $13,182.57	Facility		$0.83	$4,677.35	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $660.69 / $812.83	Professional		$48.98	$660.69	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $691.83 / $7,079.46	Facility		$660.69	$691.83	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $660.69 / $1,737.80	Professional		$48.98	$660.69	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,951.21 / $8,709.64	Facility		$1,412.54	$2,951.21	$8,709.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,000.00	Facility		$660.69	$660.69	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,220.18 / $13,489.63	Facility		$8,317.64	$11,220.18	$13,489.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,288.25	Professional		$1,174.90	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $575.44	Professional		$416.87	$416.87	$575.44