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 $656.25 / $656.25 / $656.25	Professional		$656.25	$656.25	$656.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $656.25 / $1,410.94	Facility		$656.25	$656.25	$1,410.94
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 $656.25 / $854.31 / $8,008.00	Facility		$656.25	$854.31	$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 $1,634.48 / $1,720.50 / $1,720.50	Professional		$1,634.48	$1,720.50	$1,720.50
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