Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $9,549.93 / $17,378.01	Facility		$660.69	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,380.38	Professional		$660.69	$660.69	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $676.08 / $7,943.28	Facility		$660.69	$676.08	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,737.80	Professional		$660.69	$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 $1,584.89 / $1,737.80 / $1,737.80	Professional		$1,584.89	$1,737.80	$1,737.80
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