Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
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 / $1,737.53 / $4,413.00	Facility		$1,428.87	$1,737.53	$4,413.00
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 $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,055.45 / $1,111.00 / $1,111.00	Professional		$1,055.45	$1,111.00	$1,111.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00