Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $7,943.28	Facility		$4,786.30	$6,606.93	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $5,011.87 / $20,417.38	Facility		$107.15	$5,011.87	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $20,417.38	Professional		$4,677.35	$4,677.35	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $9,120.11 / $9,120.11	Facility		$1,380.38	$9,120.11	$9,120.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $1,659,586.91	Facility		$107.15	$107.15	$1,659,586.91
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 $8,511.38 / $12,022.64 / $14,125.38	Facility		$8,511.38	$12,022.64	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $16,982.44	Facility		$1,995.26	$10,232.93	$16,982.44