Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $53.55 / $109.65	Facility		$51.00	$53.55	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $62.34 / $62.34	Professional		$62.34	$62.34	$62.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $379.92 / $602.00 / $965.00	Facility		$379.92	$602.00	$965.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $65.29 / $109.65	Facility		$51.00	$65.29	$109.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $525.42 / $1,102.64 / $1,492.71	Facility		$525.42	$1,102.64	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $78.00 / $78.00	Professional		$74.09	$78.00	$78.00
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00