Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $2,818.38 / $4,786.30	Professional		$131.83	$2,818.38	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $20,417.38	Facility		$7,943.28	$7,943.28	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $2,884.03 / $20,417.38	Professional		$416.87	$2,884.03	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,513.56 / $1,513.56	Facility		$323.59	$1,513.56	$1,513.56
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 $1,584.89 / $2,041.74 / $2,630.27	Facility		$1,584.89	$2,041.74	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $7,413.10	Facility		$1,096.48	$2,754.23	$7,413.10